Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Paul D Everett Jr.

Individual provider Clinical Social Worker · NPI 1053654756

Mr. Paul D Everett Jr. is a Clinical Social Worker in Chicago, Illinois. Qualified in 2009, 17 years ago. Practices with Lifecore Rehab and Counseling Services SC, a 4-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Licensed in
IL
In the registry since
2013
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Practice location Address checks out

5524 W Harrison St
Chicago, IL 60644-5032
Phone: (773) 854-5077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (IL)

Record details

NPI number1053654756
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2013
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Lifecore Rehab And Counseling Services Sc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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