Individual provider Active NPI

Lori A Grabe, LCSW

  • Clinical Social Worker
  • Columbia, IL
National Provider Identifier
1295757672
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.011846 Issued in IL
Practice address
276 Southwoods Ctr
Suite a
Columbia, IL 62236-2462
Phone
(618) 281-9355
Fax
(618) 281-4641
NPI assigned
Jul 24, 2006
Last updated
Mar 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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 149.011846 IL Primary
Clinical Social Worker 1041C0700X 004897 MO

Addresses

Primary practice location

276 Southwoods Ctr
Suite a
Columbia, IL 62236-2462

Mailing address

276 Southwoods Ctr
Suite a
Columbia, IL 62236-2462
Phone (618) 281-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061108000038 IL Practitioner - Clinical Social Worker 6305843293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

276 Southwoods Ctr
Suite a
Columbia, IL 62236-2462
Phone (314) 550-3195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.011846ILMDClinical Social Worker
004897MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Success Motivators, LLC Clinical CurrentSince Apr 1, 2006 Accepting new patients
Awaken Grace LLC Clinical CurrentSince Aug 20, 2024 Accepting new patients

Locations

276 Southwoods Ctr
#A
Columbia, IL 62236
Phone (314) 550-3195

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1295757672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 SOUTHWOODS CTR",
            "address_2": "SUITE A",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362462",
            "telephone_number": "618-281-9355",
            "fax_number": "618-281-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 SOUTHWOODS CTR",
            "address_2": "SUITE A",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362462",
            "telephone_number": "618-281-9355",
            "fax_number": "618-281-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABE",
        "first_name": "LORI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011846",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "004897",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, IL

Sources for this page

Verify at the official NPI Registry.