NPIMap

Organization Active NPI

Midwest Institute of Training and Development

  • Clinical Social Worker
  • South Bend, IN
National Provider Identifier
1326285495
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34000195A Issued in IN
Legal business name
MIDWEST INSTITUTE OF TRAINING AND DEVELOPMENT
Practice address
211 W Washington St
Ste 1910
South Bend, IN 46601-1711
Phone
(574) 292-6553
Fax
(574) 232-0124
NPI assigned
Jan 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Ms. Kay A Grask, LCSW, LMFT
Title
VP
Phone
(574) 292-6553

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 34000195A IN Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 35000665A IN

Addresses

Primary practice location

211 W Washington St
Ste 1910
South Bend, IN 46601-1711

Mailing address

211 W Washington St
Ste 1910
South Bend, IN 46601-1711
Phone (574) 292-6553

Other identifiers 1

IdentifierTypeStateIssuer
100460830AMedicaidIN

Other names 1

  • Kay Grask Counseling and Consulting Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1326285495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W WASHINGTON ST",
            "address_2": "STE 1910",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011711",
            "telephone_number": "574-292-6553",
            "fax_number": "574-232-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W WASHINGTON ST",
            "address_2": "STE 1910",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466011711",
            "telephone_number": "574-292-6553",
            "fax_number": "574-232-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST INSTITUTE OF TRAINING AND DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "GRASK",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "574-292-6553",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LMFT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34000195A",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35000665A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100460830A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kay Grask Counseling and Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.