Individual provider Active NPI

Sandra J Grano-Vrbanoff, LCSW

  • Clinical Social Worker
  • Munster, IN
National Provider Identifier
1194018200
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006101A Issued in IN
Practice address
8955 Columbia Ave
Munster, IN 46321-2903
Phone
(219) 923-8110
NPI assigned
May 23, 2011
Last updated
May 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34006101A IN Primary
Clinical Social Worker 1041C0700X 149.007641 IL

Addresses

Primary practice location

8955 Columbia Ave
Munster, IN 46321-2903

Mailing address

8955 Columbia Ave
Munster, IN 46321-2903
Phone (219) 923-8110

Other names 1

  • Miss Sandra J Grano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230501000619 IN Practitioner - Clinical Social Worker 3476918251 Reassigns benefits to 1 organization
I20230509000395 IL Practitioner - Clinical Social Worker 3476918251 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.007641ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Hope Indiana LLC CurrentSince Feb 1, 2023 Accepting new patients
Yusuf Salah LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

19550 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-8400

6321 Dempster St
Morton Grove, IL 60053

12220 Will Cook Rd
Palos Park, IL 60464
Phone (630) 257-2291

1048 Sagamore Pkwy W
#B
West Lafayette, IN 47906
Phone (708) 459-6077

6685 E 117th Ave
Winfield, IN 46307
Phone (219) 662-0642

Organizations & group practices 2

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": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306108800000",
    "number": "1194018200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8955 COLUMBIA AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212903",
            "telephone_number": "219-923-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8955 COLUMBIA AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212903",
            "telephone_number": "219-923-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANO-VRBANOFF",
        "first_name": "SANDRA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006101A",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.007641",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "GRANO",
            "middle_name": "J",
            "prefix": "MISS",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.