Individual provider Active NPI

Sarah Grebasch, LCSW

  • Clinical Social Worker
  • Melrose Park, IL
National Provider Identifier
1437553013
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.016001 Issued in IL
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

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170703001216 IL Practitioner - Clinical Social Worker 1759650989 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.016001ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Community Wellness Center CurrentSince Feb 6, 2019 Accepting new patients
Transformative Therapy Inc Clinical CurrentSince Jun 28, 2023 Accepting new patients
PCC Community Wellness Center CurrentSince Feb 6, 2019 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.

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

Verify at the official NPI Registry.