Individual provider Active NPI

Kathy Marie O'Grady, LCSW

  • Clinical Social Worker
  • Park Ridge, IL
National Provider Identifier
1477847796
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014445 Issued in IL
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

Updated by the provider on Dec 21, 2023

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 149.014445 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110810000177 IL Practitioner - Clinical Social Worker 2264601137 Reassigns benefits to 2 organizations

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
Silver Rising Therapy LLCGroup PAC ID 8729584305, 24 clinicians
Village of NilesGroup PAC ID 1951473057, 4 clinicians

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

LicenseStateTypeSpecialty
149.014445ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Rising Therapy LLC Clinical CurrentSince Aug 18, 2025 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.

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

Verify at the official NPI Registry.