Ilana Grenda, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

149016364 Issued in IL

Practice address

5230 S 6TH Street Rd
Springfield, IL 62703-5128

Phone

(217) 585-1180

Fax

(217) 585-4747

NPI assigned

Dec 18, 2013

Last updated

Dec 18, 2013By the provider in NPPES

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

Other identifiers 1

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": "1387324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1295156255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 S 6TH STREET RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035128",
            "telephone_number": "217-585-1180",
            "fax_number": "217-585-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 S 6TH STREET RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035128",
            "telephone_number": "217-585-1180",
            "fax_number": "217-585-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENDA",
        "first_name": "ILANA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "149016364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOCIAL WORKER",
            "identifier": "149016364",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Springfield, IL
• Providers in Springfield, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.