Cordelia Grimes, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.020285 Issued in IL

Practice address

4305 N Lincoln Ave Ste G
Chicago, IL 60618-1807

Phone

(815) 216-4116

NPI assigned

Apr 30, 2018

Last updated

Jun 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adaptive Minds LLC

  • Clinical Social Worker
  • Crystal Lake, IL
  • NPI 1598404568
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1083102578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 BENNINGTON DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148841",
            "telephone_number": "847-852-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 N LINCOLN AVE STE G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181807",
            "telephone_number": "815-216-4116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "CORDELIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cordelia@adaptivemindspsychotherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "4305 N Lincoln Ave Ste G",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606181807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Grijalva
• Taisiya Grilli, O.D.
• Shellee A Grim, PHARM.D.
• Grimard Wilson Consulting, Inc.
• Chassidy Erin Grimes
• Ephriam Thomas Grimes, M.D.
• Kimberly Grimes
• Laura L Grimes, LCSW
• Mary Eileen Grimes
• Michele E Grimes, M.S., LMFT

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.