Individual provider Active NPI

Jasmine Lashun Grier, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1790301125
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
257186 Issued in KY
Practice address
411 E Chestnut Street Level 5a
Chicago, IL 60677-3203
Phone
(502) 588-7450
Fax
(502) 588-7728
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 99096982A IN
Clinical Social Worker 1041C0700X 34009868A IN
Clinical Social Worker 1041C0700X 257186 KY Primary

Addresses

Primary practice location

411 E Chestnut Street Level 5a
Chicago, IL 60677-3203

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 588-9490

Other practice location 1

525 Zane St
Louisville, KY 40203-3203
Phone (502) 893-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20230330001884 KY Practitioner - Clinical Social Worker 9739553926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99096982AINMDMental Health Counselor
34009868AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children's Medical Group, LLC CurrentSince Apr 1, 2023 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Apr 1, 2023 Accepting new patients
Norton Children's Medical Group, LLC Clinical Current Accepting new patients
Personal Counseling Services, Inc. Mental Health PastSince Jul 15, 2025 Accepting new patients

Locations

411 E Chestnut St
#5A
Louisville, KY 40202
Phone (502) 585-7450

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1790301125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E CHESTNUT STREET LEVEL 5A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606773203",
            "telephone_number": "502-588-7450",
            "fax_number": "502-588-7728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Zane St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402033203",
            "country_code": "US",
            "telephone_number": "502-893-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIER",
        "first_name": "JASMINE",
        "middle_name": "LASHUN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "99096982A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009868A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.