Organization Active NPI

Carole Graybill LCSW PLLC

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1629760723
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CAROLE GRAYBILL LCSW PLLC
Practice address
1024 North Blvd Ste 209
Oak Park, IL 60301-1149
Phone
(708) 254-6644
NPI assigned
May 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Authorized official

Name
Carole Graybill, LCSWNPI 1104980531
Title
Owner
Phone
(708) 254-6644

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: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1024 North Blvd Ste 209
Oak Park, IL 60301-1149

Mailing address

1024 North Blvd Ste 209
Oak Park, IL 60301-1149
Phone (708) 254-6644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251002000483 IL Part B Supplier - Clinic/Group Practice 2062918626 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Park, IL

National Provider Directory

National Provider Directory

Locations

1024 North Blvd
Ste 209
Oak Park, IL 60301
Phone (708) 254-6644

1024 North Blvd
Ste 249
Oak Park, IL 60301
Phone (708) 245-6644

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": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1629760723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 NORTH BLVD STE 209",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011149",
            "telephone_number": "708-254-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 NORTH BLVD STE 209",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603011149",
            "telephone_number": "708-254-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLE GRAYBILL LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "GRAYBILL",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-254-6644",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.