Paul Pedersen, LSW
NPI 1609386168 · Clinical Social Worker · Riverside, IL
Enrolled with Medicare as Order and Referring Only - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Pedersen, LSW is a Clinical Social Worker provider in Riverside, IL (NPI 1609386168).
Provider details
- NPI number
- 1609386168
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LSW
- Sex
- Male
- Sole proprietor
- Yes
- License
- 149021530 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 321 N La Grange RdLa Grange Park, IL 60526-5622Phone: (708) 745-5277
Registry dates
- Enumerated
- 2017-10-10
- Last updated
- 2024-08-06
- Certified
- 2024-08-06
Frequently asked questions
- What is Paul Pedersen's NPI number?
- Paul Pedersen's National Provider Identifier (NPI) is 1609386168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Pedersen's specialty?
- Paul Pedersen is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Paul Pedersen located?
- Paul Pedersen's practice location on file with NPPES is 105 E Burlington St, Riverside, IL 60546-2146.
- What is Paul Pedersen's phone number?
- The practice phone number listed in the NPPES registry for Paul Pedersen is (708) 745-5277.
- Does Paul Pedersen accept Medicare?
- Paul Pedersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Pedersen's NPI active?
- Yes — Paul Pedersen's NPI (1609386168) is active in the NPPES registry as of the last update on 2024-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.