Pray Grounds

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PRAY GROUNDS

Practice address

10157 S Wallace St
Chicago, IL 60628-1841

Phone

(708) 705-2642

NPI assigned

Dec 12, 2024

Last updated

Dec 12, 2024By 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

Renecha Dorsey, LCSWNPI 1568183374

Title

Licensed Clinical Therapist

Phone

(708) 705-2642

Specialties & licenses 4

Addresses

Other identifiers 1

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.

• Renecha Dorsey

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1568183374
  NPD Authorized official

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1699582890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 W WARREN BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071819",
            "telephone_number": "773-669-6073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10157 S WALLACE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606281841",
            "telephone_number": "708-705-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAY GROUNDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "RENECHA",
        "authorized_official_title_or_position": "LICENSED CLINICAL THERAPIST",
        "authorized_official_telephone_number": "708-705-2642",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNER'S NPI TYPE 1",
            "identifier": "1568183374",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Pratt, CRNA
• Shaundra Dean Pratt
• Prava PC
• Moshe Eliyahu Praver, M.D.
• Praxis Therapy Collective PLLC
• Merle Evelyn Pray, APRN
• Jennifer Prazak, RNC-OB, IBCLC
• Kristin Mary Praznowski, LCSW
• David Michael Preble, DDS
• Emily Precht, SLP

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, 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 Dec 12, 2024; 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.