Active NPI
Andrew J Graff, LCSW
- Clinical Social Worker
- Huntley, IL
National Provider Identifier
1326092628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-008853
- Practice address
- 12178 Wildflower LN
Guardian Angel Counseling Services LLC
Huntley, IL 60142-7745 - Phone
- (779) 552-6345
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149-008853 | IL | Primary |
Addresses
Primary practice location
12178 Wildflower LN
Guardian Angel Counseling Services LLC
Huntley, IL 60142-7745
Mailing address
PO Box 1125
Guardian Angel Counseling Services LLC
Huntley, IL 60142-1125
Phone (312) 404-1046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149-008853 | IL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1326092628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1125",
"address_2": "GUARDIAN ANGEL COUNSELING SERVICES LLC",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601421125",
"telephone_number": "312-404-1046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12178 WILDFLOWER LN",
"address_2": "GUARDIAN ANGEL COUNSELING SERVICES LLC",
"city": "HUNTLEY",
"state": "IL",
"postal_code": "601427745",
"telephone_number": "779-552-6345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAFF",
"first_name": "ANDREW",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-008853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.