Phyllis Darcel Grant, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149013906 Issued in IL

Practice address

2011 East 75TH St
Chicago, IL 60649-2302

Phone

(773) 643-0500

Fax

(773) 643-0545

NPI assigned

Apr 14, 2010

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Serenity Counseling Center

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1851450761
  NPD (past)

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1215253307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 E 75TH ST",
            "address_2": "SUITE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493607",
            "telephone_number": "773-643-0500",
            "fax_number": "773-643-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 EAST 75TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606492302",
            "telephone_number": "773-643-0500",
            "fax_number": "773-643-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "PHYLLIS",
        "middle_name": "DARCEL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149013906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE NUMBER",
            "identifier": "149013906",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meagan Grant, APN
• Molly Jean Grant, RN, MSN, CPNP
• Monika Grant
• Monique Grant, LSW
• Nina Grant, OTR/L
• Rosemary Emma Grant, MD
• Sydney Rebecca Grant, LCSW
• Tamila Grant, MD
• Teiara Grant
• Thomas Grant, MD

• 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 May 16, 2013; 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.