Individual provider Active NPI

Carole J. Graybill, LCSW

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1104980531
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149008755 Issued in IL
Practice address
1024 North Blvd Ste 209
Oak Park, IL 60301-1149
Phone
(708) 254-6644
NPI assigned
Dec 20, 2006
Last updated
May 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149008755 IL Primary

Addresses

Primary practice location

1024 North Blvd Ste 209
Oak Park, IL 60301-1149

Mailing address

1024 North Blvd Ste 209
Oak Park, IL 60301-1149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251002000619 IL Practitioner - Clinical Social Worker 8123524782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1024 N Blvd
Suite 249
Oak Park, IL 60301-1169

PO Box
Suite 1173
Salem, UT 84653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149008755ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carole Graybill LCSW PLLC Clinical CurrentSince Aug 5, 2025 Accepting new patients

Locations

1024 North Blvd
Ste 209
Oak Park, IL 60301
Phone (708) 254-6644

1024 North Blvd
Ste 249
Oak Park, IL 60301
Phone (708) 245-6644

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1104980531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 NORTH BLVD STE 209",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 NORTH BLVD STE 209",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011149",
            "telephone_number": "708-254-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYBILL",
        "first_name": "CAROLE",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149008755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.