Mary Kathleen McGowan Gruber, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-005682 Issued in IL

Practice address

9150 Crawford Ave Ste 107
Skokie, IL 60076-1769

Phone

(847) 702-2218

Fax

(847) 677-4183

NPI assigned

Sep 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• L & Y Group S.C.

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1740518109
  NPD (past)

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1962785576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WILLIAMSBURG RD",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602031813",
            "telephone_number": "847-702-2218",
            "fax_number": "847-677-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 CRAWFORD AVE STE 107",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761769",
            "telephone_number": "847-702-2218",
            "fax_number": "847-677-4183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9150 Crawford Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600761770",
            "country_code": "US",
            "telephone_number": "847-702-2218",
            "fax_number": "847-677-4183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUBER",
        "first_name": "MARY",
        "middle_name": "KATHLEEN MCGOWAN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149005682",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-005682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grove of Skokie Living and Rehab Center, LLC
• Delia Mihaela Groza, APN
• Jeffrey Grubba, SA
• Joan Grubbs, RPH
• Judith Gruber, LCSW
• Marina Victoria Gruzmark, LCPC
• Sharon Guan, MSW, LCSW
• Marie Guare, RN
• Holly J Gudenkauf, PHARMD
• Karla Guiab

• Clinical Social Worker in Skokie, IL
• Providers in Skokie, 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 Jul 21, 2022; 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.