MRS. MINDY LYNNE GRADELESS (NPI# 1730330721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730330721 |
| Entity Type | Individual |
| Full Name | MRS. MINDY LYNNE GRADELESS |
| Credential | MSW |
| Practice Address |
229 East Ewing Avenue South Bend IN 46613 |
| Mailing Address |
58695 Ireland Trail Mishawaka IN 46544 |
| Practice Telephone | 8774227239 |
| Mailing Telephone | 5742561075 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
229 EAST EWING AVENUE |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689836405 | Staci-marie Balog Norman | Pharmacist | 760 West Cotter Street, South Bend, IN 46613 | 2008-07-02 |
| 1659386779 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1945 Lincolnway East, South Bend, IN 46613 | 2006-07-29 |
| 1003026642 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2105 Wabash St, South Bend, IN 46613-1138 | 2007-05-23 |
| 1366702060 | Clara M Davis | Private Vehicle | 1719 W Dubail St, South Bend, IN 46613-1216 | 2012-05-29 |
| 1215923313 | Gregory Matthew Ferro | Family Medicine | 1832 Prairie Ave, South Bend, IN 46613-1400 | 2005-09-23 |
| 1508330002 | Homeworks Construction Inc | Durable Medical Equipment & Medical Supplies | 1511 Pulaski St, South Bend, IN 46613-1404 | 2019-01-17 |
| 1477763415 | Logan Community Resources, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1917 S Walnut St, South Bend, IN 46613-1541 | 2007-05-22 |
| 1013117472 | Ronald E Grow Inc | Family Medicine | 810 W Indiana Ave, South Bend, IN 46613-1828 | 2007-07-23 |
| 1437444692 | Life Treatment Centers | Substance Abuse Rehabilitation Facility | 1402 S Michigan St, South Bend, IN 46613-2214 | 2011-06-16 |
| 1881120798 | Shakira Desavoir | Counselor | 1402 S Michigan St, South Bend, IN 46613-2214 | 2017-05-11 |
| Find all providers in zip 46613 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396988 | Samantha Morgan Stacy | Social Worker | 115 S Frances St, South Bend, IN 46617-3120 | 2020-02-04 |
| 1265914428 | Paul Brian Sexton | Social Worker | 922 E Wayne St Ste 205, South Bend, IN 46617-3027 | 2018-09-04 |
| 1629570650 | Ellen Jones | Social Worker | 611 Lincoln Way E Ste 200, South Bend, IN 46601-3220 | 2018-03-06 |
| 1265861512 | Tracey Lynn Malesa-wheaton | Social Worker | 429 W Lasalle Ave Apt 2, South Bend, IN 46601-1166 | 2013-11-07 |
| 1356690440 | Kaylie Bruinsma | Social Worker | 415 E. Madison St, South Bend, IN 46617-2322 | 2012-09-05 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1972632826 | Crystal Whitlow | Social Worker | 918 E Jefferson Blvd, South Bend, IN 46617-3104 | 2007-03-05 |
| 1093884579 | Carrie A Sommer | Social Worker | 108 N Main St Ste 200, South Bend, IN 46601-1613 | 2006-11-07 |
| 1841287950 | Amanda Jane Duddleson | Social Worker | 415 E Madison St, South Bend, IN 46617-2322 | 2005-10-04 |
| 1073129730 | Mallory Bachman | Social Worker | 340 Columbia Place, South Bend, IN 46601 | 2020-09-18 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46613 |
Please comment or provide details below to improve the information on MRS. MINDY LYNNE GRADELESS.
| 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.