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PAUL MCARTHUR PEDERSEN LSW
NPI 1609386168
Social Worker - Clinical in Riverside, IL

Active since October 10, 2017PECOS Enrolled
105 E BURLINGTON ST, RIVERSIDE, IL 60546(708) 745-5277 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2024, Oct 10, 2017 (2 updates tracked since 2017).

About Paul Mcarthur Pedersen Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL MCARTHUR PEDERSEN LSW (NPI 1609386168) is an individual clinical provider in Riverside, Illinois, licensed in Illinois (149021530) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in La Grange Park.

NPPES Registry Identity

NPI1609386168
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePAUL MCARTHUR PEDERSENCredential: LSW
Location Address105 E BURLINGTON STRiverside, IL 60546-2146
Mailing Address5220 East AveCountryside, IL 60525-3133 · (708) 995-3598
Phone(708) 745-5277
Sole ProprietorYes
Enumeration DateOctober 10, 2017
Last NPPES UpdateAugust 6, 20242 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1609386168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149021530
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
105 E BURLINGTON ST, Riverside, IL 60546
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Secondary Practice Location 1

Location 1321 N La Grange RdLA Grange Park, IL 60526-5622 · Phone (708) 745-5277

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Mcarthur Pedersen Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DAWNE R ANDERSON APN
Nurse Practitioner (Psychiatric/Mental Health)
105 E BURLINGTON ST
RIVERSIDE, IL 60546
Cook County (708) 745-5277
EDWARD TONG MD
Family Medicine
105 E BURLINGTON ST, STE C
RIVERSIDE, IL 60546
Cook County (708) 442-0333
EDWARD TONG M.D., P.C.
Family Medicine
105 E BURLINGTON ST
RIVERSIDE, IL 60546
Cook County (708) 442-0333
ADVENTIST HEALTH PARTNERS, INC
Family Medicine
105 E BURLINGTON ST, SUITE C
RIVERSIDE, IL 60546
Cook County (708) 442-0333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Pedersen's NPI number?

The NPI number for Paul Pedersen is 1609386168. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Where is Paul Pedersen located?

Paul Pedersen practices at 105 E Burlington St, Riverside, IL 60546. The listed phone number is (708) 745-5277.

What is Paul Pedersen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Paul Pedersen enrolled in Medicare?

Yes. Paul Pedersen is registered in the Medicare PECOS enrollment system.

What insurance does Paul Pedersen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Paul Pedersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Pedersen was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.