Grow Up and Grow Old Therapy PLLC
NPI 1972476653ActiveOrganization· Social Worker, Clinical· Wheaton, IL
Social Worker, Clinical in Wheaton, Illinois, registered in NPPES in September 2025. The authorized official on file is Grayson Breen, LCSW, Clinical Social Worker.
Overview
| NPI | 1972476653 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2025 |
| Last updated in NPPES | Sep 29, 2025 |
| Certified by provider | Sep 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Social Worker, Clinical providers in Wheaton
- 1699602839
- 1356613038
- 1790909513
- 1275170318
- 1306455324
- 1427967397
- 1407068331
- 1487272639
- 1598654352
- 1316149107
- 1104834613
- 1427915883