Grayson Breen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.029578 Issued in IL

Practice address

46 Danada SQ W Unit 4144
Wheaton, IL 60189-5704

Phone

(630) 991-7128

NPI assigned

Jun 17, 2025

Last updated

Sep 28, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Up and Grow Old Therapy PLLC

  • Clinical Social Worker
  • Wheaton, IL
  • NPI 1972476653
  NPD Authorized official

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759017600000",
    "number": "1659267227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 DANADA SQ W UNIT 4144",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895704",
            "telephone_number": "630-991-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 DANADA SQ W UNIT 4144",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895704",
            "telephone_number": "630-991-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "GRAYSON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-09-28",
        "certification_date": "2025-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.029578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Peter Brady
• Kayli Braun, RN
• Diana T. Brawka, DDS
• Peter T Brazis III, M.D.
• Breakthrough Care Center
• Brendan C Bell LTD
• Karen Brenner
• Leah Bressler, PA
• Brian Timothy Madvig (Arbor Clinical Associates)
• Laura Bricknell, MOT, OTR/L

• Clinical Social Worker in Wheaton, IL
• Providers in Wheaton, 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 Sep 28, 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.