Grief Recovery Group, Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.013125 Issued in IL

Legal business name

GRIEF RECOVERY GROUP, INC

Practice address

1010 Lake Street
Suite 620
Oak Park, IL 60301

Phone

(708) 359-5225

NPI assigned

Jun 17, 2014

Last updated

Oct 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary Ann Hartnett, PHD, LCSW

Title

President

Phone

(708) 359-5225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Ann Hartnett, PH.D.

  • Clinical Social Worker
  • Oak Park, IL
  • NPI 1568668515
  Medicare reassignment

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570147200000",
    "number": "1356755334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 N HARLEM AVE APT 503",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607073759",
            "telephone_number": "708-359-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAKE STREET",
            "address_2": "SUITE 620",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "60301",
            "telephone_number": "708-359-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIEF RECOVERY GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2019-10-04",
        "status": "A",
        "authorized_official_last_name": "HARTNETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-359-5225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikole Green, LCPC
• Paula B Green, M.D.
• Greenbax Health Solutions, LLC
• Stuart Crane Greene, M.D.
• Jamil Y Gregory
• Latrina Griffin
• Shamyiah Griffin
• Stacey Griffith, LCPC
• Catalina Anca Grija, M.D.
• Karin M. Grimes, L.C.S.W.

• Clinical Social Worker in Oak Park, IL
• Providers in Oak Park, 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 Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.