Active NPI
Kathy Marie O'Grady, LCSW
- Clinical Social Worker
- Park Ridge, IL
National Provider Identifier
1477847796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.014445
- Practice address
- 205 W Touhy Ave
Park Ridge, IL 60068-4256 - Phone
- (847) 364-3306
- NPI assigned
- Jun 3, 2011
- 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 | 149.014445 | IL | Primary |
Addresses
Primary practice location
205 W Touhy Ave
Park Ridge, IL 60068-4256
Mailing address
205 W Touhy Ave
Park Ridge, IL 60068-4256
Phone (847) 364-3306
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
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3775 Grand Ave
Gurnee, IL 60031-2909
Phone (630) 423-5920
999 Civic Ctr Dr
Niles, IL 60714-3224
Phone (847) 588-8479
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.014445 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Rising Therapy LLC | Clinical | Current | Accepting new patients |
| Advocate North Side Health Network | Past | Accepting new patients |
Locations
15W150 S Frontage Rd
Burr Ridge, IL 60527
Phone (630) 422-5920
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.
-
- Clinical Social Worker
- Burr Ridge, IL
- NPI 1659254068
-
- Community/Behavioral Health Agency
- Niles, IL
- NPI 1831302959
-
- Clinic/Center
- Chicago, IL
- NPI 1780788323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1477847796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W TOUHY AVE",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684256",
"telephone_number": "847-364-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W TOUHY AVE",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684256",
"telephone_number": "847-364-3306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'GRADY",
"first_name": "KATHY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-03",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.014445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.