Individual provider Active NPI

Cindy Kirshman Gradle, LCSW

  • Clinical Social Worker
  • Oak Park, IL
National Provider Identifier
1891113312
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.005296 Issued in IL
Practice address
1100 S Grove Ave
Oak Park, IL 60304-1909
Phone
(708) 218-5002
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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 149.005296 IL Primary

Addresses

Primary practice location

1100 S Grove Ave
Oak Park, IL 60304-1909

Mailing address

1100 S Grove Ave
Oak Park, IL 60304-1909
Phone (708) 218-5002

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
I20150902000248 IL Practitioner - Clinical Social Worker 9931415262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5612 W 63Rd St
Chicago, IL 60638-5580
Phone (708) 218-5002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.005296ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gradle and Associates LLC Clinical CurrentSince Jul 5, 2018 Accepting new patients
Energize Group, Inc Clinical CurrentSince Oct 1, 2020 Accepting new patients

Locations

431 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 759-1112

7350 N Sheridan Rd
Chicago, IL 60626
Phone (773) 274-1000

5130 W Jackson Blvd
Chicago, IL 60644
Phone (773) 287-1429

4950 Madison St
Unit 1391
Skokie, IL 60076

Organizations & group practices 2

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1891113312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S GROVE AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041909",
            "telephone_number": "708-218-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S GROVE AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041909",
            "telephone_number": "708-218-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADLE",
        "first_name": "CINDY",
        "middle_name": "KIRSHMAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.005296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.