Mary Grant-Angioletti

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

149002546 Issued in IL

Legal business name

MARY GRANT-ANGIOLETTI

Practice address

9 S Fairview Ave
203
Park Ridge, IL 60068-4033

Phone

(847) 452-3099

NPI assigned

Dec 12, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Grant-Angioletti, L.C.S.W.

Title

Licensed Clinical Socail Worker

Phone

(847) 452-3099

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1952546327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 S FAIRVIEW AVE",
            "address_2": "203",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684033",
            "telephone_number": "847-452-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 S FAIRVIEW AVE",
            "address_2": "203",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684033",
            "telephone_number": "847-452-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY GRANT-ANGIOLETTI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "GRANT-ANGIOLETTI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCAIL WORKER",
        "authorized_official_telephone_number": "847-452-3099",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "149002546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.