Meredith Lee Gerardot, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149011119 Issued in IL

Practice address

674 W Veterans Pkwy Ste D
Yorkville, IL 60560-4567

Phone

(630) 553-9686

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Graceful Therapy, PLLC

  • Professional Counselor
  • Oswego, IL
  • NPI 1932687332
  NPD
• Joi Counseling Center

  • Public Health or Welfare Agency
  • Yorkville, IL
  • NPI 1770698128
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1295866515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MAIN ST STE 203",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605438593",
            "telephone_number": "630-733-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 W VETERANS PKWY STE D",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605604567",
            "telephone_number": "630-553-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARDOT",
        "first_name": "MEREDITH",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "25771",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "14901119",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "meredith@gracefultherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "113 Main Street",
            "address_2": "Suite 203",
            "city": "Oswego",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah K Gehring
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• Bethany Lynn Genenbacher, LCSW, CADC
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• Gentle Dental Group
• Jessica Giangrande, FNP
• Peggy Sue Glotzbach, L.CPC
• Jake Harris Goldstein
• Sandra Kaye Gonzales, APN/FNP-BC
• Joyce Gonzalez, LCSW

• Clinical Social Worker in Yorkville, IL
• Providers in Yorkville, 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 Apr 6, 2022; 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.