Ashley Grob

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149022261 Issued in IL

Practice address

1125 Tri State Pkwy Ste 720
Gurnee, IL 60031-9177

Phone

(847) 245-6544

NPI assigned

Dec 4, 2015

Last updated

Aug 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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.

• Self Connected Therapy LLC

  • Adult Mental Health Clinic/Center
  • Round Lake Beach, IL
  • NPI 1013521301
  NPD Authorized official

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598054400000",
    "number": "1851766695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 TRI STATE PKWY STE 720",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 TRI STATE PKWY STE 720",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319177",
            "telephone_number": "847-245-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROB",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2020-08-22",
        "certification_date": "2020-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149022261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail K Greene
• Greenleaf Orthopaedic Associates, S.C.
• Greenleaf Orthopaedic Associates, S.C.
• Greenleaf Pharmacy & Homecare LTD
• Greg J. Jun, M.D., S.C. (Jun Health Care)
• Eleanor J. Gross, L.C.P.C.
• McKinley J Grove, PT, DPT
• Larry Grubb, LCSW
• Rebecca Ruth Guagliardo, M.S./CCC/SLP-L
• Griselda Guerra, LSW

• Clinical Social Worker in Gurnee, IL
• Providers in Gurnee, 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 Aug 22, 2020; 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.