Provider Demographics
NPI:1861058885
Name:HAUSER, PAIGE JORDAN (LCSW)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:JORDAN
Last Name:HAUSER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:JORDAN
Other - Last Name:ZIMMERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 W JACKSON BLVD STE 1700
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-3597
Mailing Address - Country:US
Mailing Address - Phone:646-453-6777
Mailing Address - Fax:833-900-1747
Practice Address - Street 1:200 E OHIO ST STE 400
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-7233
Practice Address - Country:US
Practice Address - Phone:312-858-5440
Practice Address - Fax:312-475-0964
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490211881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical