Organization Active NPI

Grace Bothwell, PLLC

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1508748567
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GRACE BOTHWELL, PLLC
Practice address
3717 N Ravenswood Ave Ste 220W
Chicago, IL 60613-3899
Phone
(608) 359-6729
NPI assigned
Jul 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Grace Bothwell, LCSWNPI 1730732975
Title
Member
Phone
(608) 359-6729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

3717 N Ravenswood Ave Ste 220W
Chicago, IL 60613-3899

Mailing address

1440 W Taylor St # 1333
Chicago, IL 60607-4623

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1508748567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W TAYLOR ST # 1333",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 N RAVENSWOOD AVE STE 220W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606133899",
            "telephone_number": "608-359-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE BOTHWELL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "BOTHWELL",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "608-359-6729",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.