Individual provider Active NPI

Mary Grace Gorman Cebrat, MSW

  • Social Worker
  • Grayslake, IL
National Provider Identifier
1376353011
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
1190 E Washington St
Grayslake, IL 60030-7960
Phone
(847) 549-2235
NPI assigned
Jan 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X IL Primary

Addresses

Primary practice location

1190 E Washington St
Grayslake, IL 60030-7960

Mailing address

385 Getchell Ave
Grayslake, IL 60030-2314
Phone (330) 988-8181

Other names 1

  • Mary Grace Gorman Former name

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of Grayslake LTD. CurrentSince Jan 19, 2025 Accepting new patients

Locations

1190 E Washington St
Grayslake, IL 60030
Phone (847) 477-0434

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1376353011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 GETCHELL AVE",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302314",
            "telephone_number": "330-988-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 E WASHINGTON ST",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307960",
            "telephone_number": "847-549-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBRAT",
        "first_name": "MARY",
        "middle_name": "GRACE GORMAN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "GORMAN",
            "middle_name": "GRACE",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grayslake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.