PAUL J. DETAEGE, LCSW, P.C.
NPI 1861780025
Community/Behavioral Health in Chicago, IL

Q: What is Paul J. Detaege, Lcsw, P.C.'s NPI number?

The NPI number for Paul J. Detaege, Lcsw, P.C. is 1861780025. It was assigned to this organization in the NPPES registry on July 20, 2011.

Q: What is Paul J. Detaege, Lcsw, P.C.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since July 20, 2011

5215 N RAVENSWOOD AVE, SUITE 314, CHICAGO, IL 60640(773) 988-4965 Get Directions Write a Review

NPPES record last updated: July 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Paul J. Detaege, Lcsw, P.c. NPPES

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

PAUL J. DETAEGE, LCSW, P.C. (NPI 1861780025) is a healthcare organization registered as a community/behavioral health in Chicago, Illinois and active in the NPI registry since July 2011. The organization lists Paul J Detaege, President, as its authorized official.

NPPES Registry Identity

NPI1861780025

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePAUL J. DETAEGE, LCSW, P.C.

Location Address5215 N RAVENSWOOD AVE, SUITE 314Chicago, IL 60640-1668

Mailing Address5215 N Ravenswood Ave, Suite 314Chicago, IL 60640-1668 · (773) 988-4965

Phone(773) 988-4965

Organization SubpartNo

Authorized OfficialPaul J DetaegePresident · (773) 988-4965

Enumeration DateJuly 20, 2011

✔ NPI 1861780025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in IL · 149008180

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

5215 N RAVENSWOOD AVE, Chicago, IL 60640

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Other Identifiers 1

Other1598887580IL · Type 1 Npi

Other Providers at the Same Location NPPES 14

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

CARLOS MATOS

Massage Therapist

5215 N RAVENSWOOD AVE, SUITE 105
CHICAGO, IL 60640

Cook County (773) 878-7330

SARA PHOU LCSW LLC

Social Worker (Clinical)

5215 N RAVENSWOOD AVE
CHICAGO, IL 60640

Cook County (773) 340-0472

SERENA PESCH

Social Worker (Clinical)

5215 N RAVENSWOOD AVE, STE 210
CHICAGO, IL 60640

Cook County (773) 654-3179

TRACIE HINTON-CHAVEZ LAC., DIPLO.OM.

Acupuncturist

5215 N RAVENSWOOD AVE, SUITE 105
CHICAGO, IL 60640

Cook County (773) 878-7330

MISS NICOLE MILLER L.M.T.

Massage Therapist

5215 N RAVENSWOOD AVE, SUITE 105
CHICAGO, IL 60640

Cook County (773) 878-7330

MR. THOMAS MALINSKY L.AC.

Acupuncturist

5215 N RAVENSWOOD AVE, SUITE 105
CHICAGO, IL 60640

Cook County (773) 878-7330

DR TODD C RENN, P.C.

Chiropractor

5215 N RAVENSWOOD AVE, SUITE 105
CHICAGO, IL 60640

Cook County (773) 878-7330

ESSENTIAL HEALTH SOLUTIONS INC

Nutritionist (Nutrition, Education)

5215 N RAVENSWOOD AVE, SUITE 105
CHICAGO, IL 60640

Cook County (773) 878-7330

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 J. Detaege, Lcsw, P.C.'s NPI number?

The NPI number for Paul J. Detaege, Lcsw, P.C. is 1861780025. It was assigned to this organization in the NPPES registry on July 20, 2011.

Where is Paul J. Detaege, Lcsw, P.C. located?

Paul J. Detaege, Lcsw, P.C. is located at 5215 N Ravenswood Ave Suite 314, Chicago, IL 60640. The listed phone number is (773) 988-4965.

What is Paul J. Detaege, Lcsw, P.C.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Paul J. Detaege, Lcsw, P.C. was last updated on July 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.