Individual provider Active NPI

Lauren Rodriguez, MSW, LSW

  • Clinical Social Worker
  • Oswego, IL
National Provider Identifier
1164319133
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
113 Main St
Suite 203
Oswego, IL 60543-2305
Phone
(630) 733-9108
Fax
(630) 912-4242
NPI assigned
Jun 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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 IL Primary

Addresses

Primary practice location

113 Main St
Suite 203
Oswego, IL 60543-2305

Mailing address

113 Main St
Suite 203
Oswego, IL 60543-2305
Phone (630) 733-9108

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.gracefultherapy.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Graceful Therapy, PLLC CurrentSince Jun 23, 2025 Accepting new patients

Locations

113 Main St
Ste 203
Oswego, IL 60543
Phone (630) 733-9108

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": "1750464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1164319133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MAIN ST",
            "address_2": "SUITE 203",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605432305",
            "telephone_number": "630-733-9108",
            "fax_number": "630-912-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MAIN ST",
            "address_2": "SUITE 203",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605432305",
            "telephone_number": "630-733-9108",
            "fax_number": "630-912-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LAUREN",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-21",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.gracefultherapy.com",
            "affiliation": "N",
            "endpointDescription": "Mental Health Counseling",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mental Health",
            "address_1": "113 Main St",
            "address_2": "Suite 203",
            "city": "Oswego",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605432305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.