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PAUL K WIEMERSLAGE LCSW
NPI 1699040378
Social Worker - Clinical in Chicago, IL

Active since March 14, 2012Opted out of Medicare · through Jul 18, 2027
5537 N BROADWAY ST, CHICAGO, IL 60640(773) 989-9400(773) 989-9494 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul K Wiemerslage Lcsw NPPES

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

PAUL K WIEMERSLAGE LCSW (NPI 1699040378) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.015124) and active in the NPI registry since March 2012. He has opted out of Medicare through July 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1699040378
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NamePAUL K WIEMERSLAGECredential: LCSW
Location Address5537 N BROADWAY STChicago, IL 60640-1405
Mailing Address5537 N Broadway StChicago, IL 60640-1405 · (773) 989-9400 · Fax (773) 989-9494
Phone(773) 989-9400
Fax(773) 989-9494
Sole ProprietorNo
Enumeration DateMarch 14, 2012
✔ NPI 1699040378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.015124
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 149.015124 (IL)
5537 N BROADWAY ST, Chicago, IL 60640
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Paul K Wiemerslage Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 18, 2019 through July 18, 2027.

Opt-Out Effective DateJuly 18, 2019
Opt-Out In Effect ThroughJuly 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60640 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 12

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

TPA NETWORK INCORPORATED
Counselor (Mental Health)
5537 N BROADWAY ST
CHICAGO, IL 60640
Cook County (773) 989-9400
HOWARD BROWN HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
5537 N BROADWAY ST, STE 101
CHICAGO, IL 60640
Cook County (773) 388-1600
JOHN JOSEPH STRYKER NP
Nurse Practitioner (Family)
5537 N BROADWAY ST
CHICAGO, IL 60640
Cook County (737) 989-9400
MS. DAYNA L FLORES LPC
Counselor (Professional)
5537 N BROADWAY ST
CHICAGO, IL 60640
Cook County (773) 989-9400
CHRISTINA JOLY LCOC
Counselor (Professional)
5537 N BROADWAY ST
CHICAGO, IL 60640
Cook County (773) 818-8081
CHARLOTTE J MOORE LCPC, CADC
Counselor (Professional)
5537 N BROADWAY ST
CHICAGO, IL 60640
Cook County (773) 989-9400
THOMAS F HOLLER LPC, CADC
Counselor (Professional)
5537 N BROADWAY ST
CHICAGO, IL 60640
Cook County (773) 989-9400
ERIN M. CONLEY LCPC
Counselor (Professional)
5537 N BROADWAY ST
CHICAGO, IL 60640
Cook County (773) 989-9400

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 Wiemerslage's NPI number?

The NPI number for Paul Wiemerslage is 1699040378. It was assigned to this individual provider in the NPPES registry on March 14, 2012.

Where is Paul Wiemerslage located?

Paul Wiemerslage practices at 5537 N Broadway St, Chicago, IL 60640. The listed phone number is (773) 989-9400.

What is Paul Wiemerslage's specialty?

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

Is Paul Wiemerslage enrolled in Medicare?

No. Paul Wiemerslage has opted out of Medicare through July 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Paul Wiemerslage was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.