Individual provider Active NPI

Gail Marie Grabczynski, EDD, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1790017200
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.008422 Issued in IL
Practice address
1325 S Wabash Ave Ste 302
Chicago, IL 60605-2536
Phone
(312) 607-1385
Fax
(312) 277-6113
NPI assigned
Feb 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.008422 IL Primary

Addresses

Primary practice location

1325 S Wabash Ave Ste 302
Chicago, IL 60605-2536

Mailing address

27 N Wacker Dr
Suite 166
Chicago, IL 60606-2800
Phone (312) 607-1385

Other practice location 1

27 N Wacker Dr
Suite 166
Chicago, IL 60606-2800
Phone (312) 607-1385

Other identifiers 2

IdentifierTypeStateIssuer
1528390929MedicaidIL
2784763OtherILCIGNA BEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100702000089 IL Practitioner - Clinical Social Worker 3476683269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1325 S Wabash Ave
Suite 302
Chicago, IL 60605-2536
Phone (312) 607-1385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.008422ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Making the Difference International, Inc Clinical CurrentSince May 10, 2017 Accepting new patients

Locations

27 N Wacker Dr
Chicago, IL 60606
Phone (312) 607-1385

1325 S Wabash Ave
Ste 302
Chicago, IL 60605
Phone (312) 607-1385

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1790017200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 N WACKER DR",
            "address_2": "SUITE 166",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606062800",
            "telephone_number": "312-607-1385",
            "fax_number": "773-548-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S WABASH AVE STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052536",
            "telephone_number": "312-607-1385",
            "fax_number": "312-277-6113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27 N Wacker Dr",
            "address_2": "Suite 166",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606062800",
            "country_code": "US",
            "telephone_number": "312-607-1385",
            "fax_number": "773-548-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABCZYNSKI",
        "first_name": "GAIL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "EDD, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.008422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528390929",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "2784763",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.