CLARISSA GRANADOS (MSW, LCSW) – Clinical Social Worker, NPI 1821873704

CLARISSA GRANADOS (MSW, LCSW) is a healthcare provider. based in Chicago, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. 150.107913 (IL). The NPI Number for CLARISSA GRANADOS (MSW, LCSW) is 1821873704

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CLARISSA GRANADOS (MSW, LCSW)
NPI
1821873704
Phone
(855) 264-9355
Address
30 N MICHIGAN AVE STE 2029
Enumeration Date
29 August 2023
Last Update Date
14 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
85526493550
Graduation Year
2020 (6 years ago)
PAC ID
2466998109
Group Practice PAC ID
7618121922
Professional Enrollment ID
I20240718001709
Address ID
IL606023669CH30XXXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for CLARISSA GRANADOS (MSW, LCSW)

  • 30 N MICHIGAN AVE STE 2029

    CHICAGO, IL 606023611

    Phone: (855) 264-9355

    Fax: (855) 792-0240

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240718001709IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618121922View full group profile
NameSpecialtyState
Clinical Social WorkerKS
Clinical PsychologistIL
Clinical PsychologistIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
-IL
Clinical PsychologistIL
Clinical Social WorkerIL
Clinical PsychologistIL

Reviews

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Frequently asked questions

How do payers reference CLARISSA GRANADOS (MSW, LCSW)?
For CLARISSA GRANADOS (MSW, LCSW), use NPI 1821873704 as the unique 10-digit identifier.
Active or inactive — what applies to CLARISSA GRANADOS (MSW, LCSW)?
You should see CLARISSA GRANADOS (MSW, LCSW) as active in CMS-hosted NPPES data.
How would a patient describe CLARISSA GRANADOS (MSW, LCSW)'s focus?
For CLARISSA GRANADOS (MSW, LCSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is CLARISSA GRANADOS (MSW, LCSW) located near Chicago?
CLARISSA GRANADOS (MSW, LCSW) currently maps to Chicago, Illinois in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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