Vicki Grunnet-Alden, PH.D, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.009358 Issued in IL

Practice address

3301 Resource Pkwy Ste 3
Dekalb, IL 60115-5334

Phone

(630) 297-3617

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Novo: Renewing Joy in Life, PC

  • Professional Counselor
  • Saint Charles, IL
  • NPI 1669744405

  Clinical

  NPD

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1114080686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 RESOURCE PKWY STE 3",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601155334",
            "telephone_number": "630-297-3617",
            "fax_number": "630-845-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 RESOURCE PKWY STE 3",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601155334",
            "telephone_number": "630-297-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNNET-ALDEN",
        "first_name": "VICKI",
        "name_prefix": "Ms.",
        "credential": "PH.D, LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.009358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2232366",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Lynn Green, RPH
• Norma Laura Gregorio-Perez
• Kayla Nicole Gregory, DNP, CRNA
• Jack William Groskopf
• Growing Golden Speech and Language Therapy, PLLC
• Denise Gualandri
• Abriana Rose Guazzelli, PHARMD
• Samantha Nikole Gudmunson, RN
• Alejandra Guereca
• Rachel M Guerrero

• All providers in Dekalb, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.