Individual provider Active NPI

Haley J Grasso-Viktora, LCSW

  • Clinical Social Worker
  • Tinley Park, IL
National Provider Identifier
1902359110
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149018623 Issued in IL
Practice address
17732 Oak Park Ave
Tinley Park, IL 60477-3934
Phone
(708) 342-1773
Fax
(708) 342-1780
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 149018623 IL Primary

Addresses

Primary practice location

17732 Oak Park Ave
Tinley Park, IL 60477-3934

Mailing address

17732 Oak Park Ave Ste 1
Tinley Park, IL 60477-3934
Phone (708) 342-1773

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
I20160923001869 IL Practitioner - Clinical Social Worker 3274820907 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitae Health Medical Illinois, PLLCGroup PAC ID 2365798410, 214 clinicians
Great Changes Counseling Services, P.C.Group PAC ID 3375718604, 6 clinicians

Practice addresses (Care Compare)

210 Springfield Ave
Joliet, IL 60435-6589
Phone (815) 725-3400

9435 Bormet Dr
Suite 5
Mokena, IL 60448-7401
Phone (708) 995-7226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Great Changes Counseling Services, P.C. Clinical CurrentSince Feb 27, 2023 Accepting new patients
Blue Moon Senior Counseling of Illinois LLC Clinical CurrentSince May 3, 2023 Accepting new patients
Vitae Health Medical Illinois, PLLC Clinical CurrentSince Nov 1, 2025 Accepting new patients
Olimene Counseling Services, Inc. Clinical CurrentSince Sep 1, 2019 Accepting new patients

Locations

2330 W Galena Blvd
Aurora, IL 60506
Phone (630) 896-4682

550 E Boughton Rd
Ste 265
Bolingbrook, IL 60440
Phone (331) 318-8181

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

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

210 Springfield Ave
Joliet, IL 60435
Phone (708) 478-6382

9435 Bormet Dr
Ste 5
Mokena, IL 60448
Phone (708) 248-8332

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1902359110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17732 OAK PARK AVE STE 1",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773934",
            "telephone_number": "708-342-1773",
            "fax_number": "708-342-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17732 OAK PARK AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773934",
            "telephone_number": "708-342-1773",
            "fax_number": "708-342-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSO-VIKTORA",
        "first_name": "HALEY",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149018623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

Verify at the official NPI Registry.