CAITLIN SELLERS-GRUDYSZ (NPI# 1629328935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629328935 |
| Entity Type | Individual |
| Full Name | CAITLIN SELLERS-GRUDYSZ |
| Credential | LCSW |
| Practice Address |
3245 Grove Ave Ste 107 Berwyn IL 60402-3474 |
| Mailing Address |
5455 N Sheridan Rd Apt 3002 Chicago IL 60640-7442 |
| Practice Telephone | 8477448211 |
| Mailing Telephone | 8478903749 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2016-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149018034 | IL | Behavioral Health & Social Service Providers |
| Street Address |
3245 GROVE AVE STE 107 |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-3474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790783736 | Mercado Foot and Ankle Clinics South | Podiatrist | 3245 Grove Ave, Suite 106, Berwyn, IL 60402-3474 | 2005-07-13 |
| 1689205684 | Maria Perez | Social Worker | 3245 Grove Ave, Berwyn, IL 60402-3474 | 2020-01-29 |
| 1649834409 | Mindfully Serene Pscyhotherapy LLC | Clinic/Center | 3245 Grove Ave, Berwyn, IL 60402-3474 | 2019-04-26 |
| 1841657939 | Mindful Wellness LLC | Counselor | 3245 Grove Ave, Suite 107, Berwyn, IL 60402-3474 | 2016-01-21 |
| 1962774885 | Jennifer Busker | Counselor | 3245 Grove Ave, Suite 107, Berwyn, IL 60402-3474 | 2012-02-08 |
| 1902180201 | Freedom Foot Clinics of Illinois Sc | Podiatrist | 3245 Grove Ave, Suite #103, Berwyn, IL 60402-3474 | 2011-10-05 |
| 1770883779 | S & S Diagnostic Services, Inc | Physiological Laboratory | 3245 Grove Ave, Suite 104, Berwyn, IL 60402-3474 | 2010-10-25 |
| 1659690022 | Suburban Metabolic Institute, LLC | Specialist | 3245 Grove Ave, Ste. 202, Berwyn, IL 60402-3474 | 2010-05-25 |
| 1912153909 | Robin Lynn Favor | Surgery | 3245 Grove Ave, Suite 202, Berwyn, IL 60402-3474 | 2008-08-11 |
| 1023283611 | Mark S Choh | Surgery | 3245 Grove Ave, #202, Berwyn, IL 60402-3474 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618990 | Elizabeth Bakula | Social Worker | 2401 Gunderson Ave, Berwyn, IL 60402-2643 | 2020-08-05 |
| 1023640976 | Erika Irene Figgers | Social Worker | 1416 Oak Park Ave, Berwyn, IL 60402-1228 | 2020-02-09 |
| 1922597475 | Stephanie Hultz | Social Worker | 6907 29th Pl, Berwyn, IL 60402-2940 | 2018-05-09 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1457864621 | Marilyn Gonzalez | Social Worker | 3613 Euclid Ave, Berwyn, IL 60402-3864 | 2017-11-09 |
| 1083137996 | Peter Mccall | Social Worker | 708 Berwyn Ave Apt A, Berwyn, PA 19312-1714 | 2017-07-23 |
| 1649634569 | Marisela Rodriguez | Social Worker | 6532 26th St, Berwyn, IL 60402-4688 | 2016-04-06 |
| 1356730576 | John B Corso | Social Worker | 6201 W Cermak Rd, 2nd Floor/ Lombard Entrance, Berwyn, IL 60402-2331 | 2015-01-12 |
| 1700208493 | Maria S Deleon | Social Worker | 1810 Cuyler Ave, Berwyn, IL 60402-2052 | 2014-01-14 |
| 1346594025 | Anne Marie Crowe | Social Worker | 6431 32nd St, Berwyn, IL 60402-3520 | 2012-11-02 |
| Find all providers in BERWYN | ||||
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| 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.