Active NPI
Sarah Grebasch, LCSW
- Clinical Social Worker
- Melrose Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.016001
- Practice address
- 1111 Superior St
Melrose Park, IL 60160-4138 - Phone
- (708) 406-3040
- NPI assigned
- Oct 10, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 149.016001 | IL | Primary |
Addresses
Primary practice location
1111 Superior St
Melrose Park, IL 60160-4138
Mailing address
1032 W Albion Ave
Chicago, IL 60626-4612
Phone (815) 347-1921
Other practice location 1
4001 W Devon Ave
Suite 211
Chicago, IL 60646-4523
Phone (815) 347-1921
Other names 1
- Sarah Salm
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.016001 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCC Community Wellness Center | Current | Accepting new patients | |
| Transformative Therapy Inc | Clinical | Current | Accepting new patients |
| PCC Community Wellness Center | Current | Accepting new patients |
Locations
2334 W Lawrence Ave
Ste 204
Chicago, IL 60625
Phone (773) 263-7550
1111 Superior St
Ste 101
Melrose Park, IL 60160
Phone (708) 344-2161
14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Oak Park, IL
- NPI 1871516799
-
- Clinical Social Worker
- Chicago, IL
- NPI 1932761285
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1134954506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577404800000",
"number": "1437553013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 W ALBION AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606264612",
"telephone_number": "815-347-1921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 SUPERIOR ST",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601604138",
"telephone_number": "708-406-3040"
}
],
"practiceLocations": [
{
"address_1": "4001 W Devon Ave",
"address_2": "Suite 211",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606464523",
"country_code": "US",
"telephone_number": "815-347-1921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREBASCH",
"first_name": "SARAH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-10",
"last_updated": "2019-12-27",
"certification_date": "2019-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.016001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "SALM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.