Organization Active NPI

Grow Up and Grow Old Therapy PLLC

  • Clinical Social Worker
  • Wheaton, IL
National Provider Identifier
1972476653
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GROW UP AND GROW OLD THERAPY PLLC
Practice address
46 Danada SQ W Unit 4144
Wheaton, IL 60189-5704
Phone
(630) 991-7128
NPI assigned
Sep 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Grayson Breen, LCSWNPI 1659267227
Title
Clinical Social Worker
Phone
(630) 991-7128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

46 Danada SQ W Unit 4144
Wheaton, IL 60189-5704

Mailing address

46 Danada SQ W Unit 4144
Wheaton, IL 60189-5704
Phone (630) 991-7128

National Provider Directory

National Provider Directory

Locations

46 Danada Sq W
Unit 4144
Wheaton, IL 60189
Phone (630) 991-7128

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1972476653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 DANADA SQ W UNIT 4144",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895704",
            "telephone_number": "630-991-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 DANADA SQ W UNIT 4144",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601895704",
            "telephone_number": "630-991-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW UP AND GROW OLD THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-28",
        "status": "A",
        "authorized_official_last_name": "BREEN",
        "authorized_official_first_name": "GRAYSON",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "630-991-7128",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.