Kelly Graves, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.020732 Issued in IL

Practice address

520 N Marshfield Ave
Chicago, IL 60622-6731

Phone

(312) 243-6097

NPI assigned

Nov 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1194295261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 N WOOD ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221326",
            "telephone_number": "651-373-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MARSHFIELD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226731",
            "telephone_number": "312-243-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "KELLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Graves, RD, LDN, MPH
• Carmen Villasante Graves, D.D.S, M.S
• Dexter Charles Graves, MD
• Elizabeth Michelle Graves, D.C.
• Joseph Andrew Graves, M.D.
• Monique Graves, APN
• Natalie Graves, LCSW
• Anthony Stuart Gravin, DPT
• Gravity and Grace Psychotherapy, PLLC
• Gray Health Inc

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.