Active NPI
Grace J Wasilewski, MSW
- Social Worker
- Champaign, IL
National Provider Identifier
1124993498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150114915
- Practice address
- 2125 S Neil St
Champaign, IL 61820-7266 - Phone
- (217) 352-0200
- Fax
- (217) 607-1139
- NPI assigned
- Oct 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150114915 | IL | Primary |
Addresses
Primary practice location
2125 S Neil St
Champaign, IL 61820-7266
Mailing address
2125 S Neil St
Champaign, IL 61820-7266
Phone (217) 352-0200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2125 S Neil St
Champaign, IL 61820-7266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150114915 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keri Powell Therapy Inc | Clinical | Current | Accepting new patients |
Locations
2125 S Neil St
Champaign, IL 61820
Phone (217) 356-3736
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1124993498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 S NEIL ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207266",
"telephone_number": "217-352-0200",
"fax_number": "217-607-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 S NEIL ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207266",
"telephone_number": "217-352-0200",
"fax_number": "217-607-1139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASILEWSKI",
"first_name": "GRACE",
"middle_name": "J",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-07",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150114915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.