Adaptive Minds LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ADAPTIVE MINDS LLC

Practice address

832 Bennington Dr
Crystal Lake, IL 60014-8841

Phone

(815) 216-4116

NPI assigned

May 29, 2022

Last updated

May 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cordelia Grimes, MSW, LCSWNPI 1083102578

Title

Owner/Therapist

Phone

(815) 216-4116

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cordelia Grimes, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1083102578
  NPD Authorized official

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

{
    "created_epoch": "1653782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653782400000",
    "number": "1598404568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 N LINCOLN AVE STE G",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 BENNINGTON DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148841",
            "telephone_number": "815-216-4116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4305 N Lincoln Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606181807",
            "country_code": "US",
            "telephone_number": "815-216-4116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADAPTIVE MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-29",
        "last_updated": "2022-05-29",
        "certification_date": "2022-05-29",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "CORDELIA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "815-216-4116",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2022; 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.