KELLY GRAVES


Address: 520 N Marshfield Ave, Chicago, IL 60622-6731
Phone: 3122436097

KELLY GRAVES (NPI# 1194295261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194295261
Entity Type Individual
Full Name KELLY GRAVES
Credential LCSW
Practice Address 520 N Marshfield Ave
Chicago
IL 60622-6731
Mailing Address 1634 N Wood St Apt 1
Chicago
IL 60622-1326
Practice Telephone 3122436097
Mailing Telephone 6513734692
Enumeration Date 2018-11-30
Last Update Date 2018-11-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
149.020732 IL Behavioral Health & Social Service Providers

Other Providers KELLY GRAVES

NPI Name Taxonomy Address Enumeration
1801203872 Kelly Graves Licensed Practical Nurse 96 Jamaica Ave, Medford, NY 11763-3518 2014-07-22
1922381912 Kelly Graves Psychologist 2110 Golden Gate Dr, Suite B, Greensboro, NC 27405-5600 2011-09-26
1417480245 Kelly Graves Student in an Organized Health Care Education/Training Program 150 Bergen St # Uh-i248, Newark, NJ 07103-2496 2017-04-08

Office Location

Street Address 520 N MARSHFIELD AVE
City CHICAGO
State IL
Zip Code 60622-6731

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821123886 Ellisa Slonim Speech-Language Pathologist 520 N Marshfield Ave, Esperanza Early Intervention Program, Chicago, IL 60622-6731 2007-02-22
1962968495 Erin Marsh Behavioral Analyst 520 N Marshfield Ave, Chicago, IL 60622-6731 2019-02-20
1366910051 James M Walker Occupational Therapist 520 N Marshfield Ave, Chicago, IL 60622-6731 2018-11-12
1922582758 Jessica Heuer Behavioral Analyst 520 N Marshfield Ave, Chicago, IL 60622-6731 2018-09-18
1477037281 Theodore Issen Behavioral Analyst 520 N Marshfield Ave, Chicago, IL 60622-6731 2018-09-18
1144684119 Katlyn Mcginnis Behavioral Analyst 520 N Marshfield Ave, Chicago, IL 60622-6731 2016-04-06
1598123283 Esperanza Community Services Behavioral Analyst 520 N Marshfield Ave, Chicago, IL 60622-6731 2016-02-09
1407212004 Esperanza Community Services Behavioral Analyst 520 N Marshfield Ave, Chicago, IL 60622-6731 2016-01-12
1508201237 Alexandria Kristine Rubio Behavioral Analyst 520 N Marshfield Ave, Chicago, IL 60622-6731 2013-05-08
1316295397 Esperanza Community Services Day Training, Developmentally Disabled Services 520 N Marshfield Ave, Chicago, IL 60622-6731 2012-08-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447880471 Erikson Institute Clinic/Center 2739 W Division St, Chicago, IL 60622 2020-01-17
1720620545 Emily Claire Bonanno Counselor 1397 N Miwaukee Ave, Chicago, IL 60622 2019-10-14
1891342093 Taylor Mallon Speech-Language Pathologist 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 2019-08-22
1083260277 Maggie Inman Student in an Organized Health Care Education/Training Program 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 2019-08-13
1174176168 Karol Maricel Quelal Analuisa Internal Medicine 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 2019-07-19
1073076105 Nichole Galullo Social Worker 1431 N Claremont 2nd Floor, Chicago, IL 60622 2019-04-06
1003375122 Alfredo Delgado Perez Sr. Psychologist 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 2019-03-18
1841773439 Abigail Hector Counselor 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 2018-09-11
1164916144 Dorothy Mitkowski Student in an Organized Health Care Education/Training Program 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 2018-06-21
1255825121 Kara Lynn Daniel Speech-Language Pathologist 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 2018-06-14
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295336022 Web Healing Collective Pllc Social Worker 6207 N Springfield Ave, Chicago, IL 60659-1015 2020-11-06
1881295186 Belva Marie Dibert Social Worker 6330 S Ingleside Ave Apt 3, Chicago, IL 60637-5784 2020-11-03
1861092835 Lauren Less Social Worker 111 East Pearson St, Chicago, IL 60611 2020-10-29
1164022422 Brittany Lauren Gatchell Social Worker 7448 N Damen Ave Apt 3n, Chicago, IL 60645-2258 2020-10-27
1467052803 Seri Elaine Porter Social Worker 4258 N Greenview Ave Apt 2d, Chicago, IL 60613-1173 2020-10-26
1255930707 Emily Ehrens Social Worker 303 W Institute Pl Ste 300, Chicago, IL 60610-3080 2020-10-25
1316546955 Yesenia Maldonado Social Worker 3922 N Sayre Ave, Chicago, IL 60634-2329 2020-10-24
1144829201 Andrea Hohf, Mscd, Lcsw Social Worker 564 W Randolph St Ste 248, Chicago, IL 60661-2218 2020-10-20
1215536693 Miracleworks Therapy & Consulting LLC Social Worker 2138 S Indiana Ave, Chicago, IL 60616-4930 2020-10-18
1104425552 Fifth Star Collective, LLC Social Worker 2711 N Lawndale Ave Unit 2, Chicago, IL 60647-1127 2020-10-17
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Competitor

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City CHICAGO
Zip Code 60622

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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