Individual provider Active NPI

Grant Michael Anixter, LSW

  • Social Worker
  • Northbrook, IL
National Provider Identifier
1457277394
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
150.129415 Issued in IL
Practice address
450 Skokie Blvd Ste 503
Northbrook, IL 60062-7913
Phone
(847) 250-7153
NPI assigned
Jun 25, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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 150.129415 IL Primary

Addresses

Primary practice location

450 Skokie Blvd Ste 503
Northbrook, IL 60062-7913

Mailing address

450 Skokie Blvd Ste 503
Northbrook, IL 60062-7913
Phone (847) 250-7153

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

NPI Registry JSON

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1457277394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SKOKIE BLVD STE 503",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627913",
            "telephone_number": "847-250-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SKOKIE BLVD STE 503",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600627913",
            "telephone_number": "847-250-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANIXTER",
        "first_name": "GRANT",
        "middle_name": "MICHAEL",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.129415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.