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SHELLI POLLARD LCSW
NPI 1053786269
Social Worker - Clinical in Belvidere, IL

Active since December 14, 2015PECOS EnrolledAccepts Medicare Assignment
1818 LOGAN AVE, BELVIDERE, IL 61008(815) 575-9887(815) 534-1437 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2025, Mar 21, 2018, Dec 14, 2015 (3 updates tracked since 2015).

About Shelli Pollard Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLI POLLARD LCSW (NPI 1053786269) is an individual clinical provider in Belvidere, Illinois, licensed in Illinois (149018509) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1053786269
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELLI POLLARDCredential: LCSW
Location Address1818 LOGAN AVEBelvidere, IL 61008-6412
Mailing Address1818 Logan AveBelvidere, IL 61008-6412 · (815) 575-9887 · Fax (815) 534-1437
Phone(815) 575-9887
Fax(815) 534-1437
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 14, 2015
Last NPPES UpdateJanuary 9, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2025
✔ NPI 1053786269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149018509
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.
1818 LOGAN AVE, Belvidere, IL 61008
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelli Pollard Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567724479
PECOS Enrollment IDI20180313000029
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61008 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REVIVE THERAPY AND WELLNESS LLC
Social Worker (Clinical)
1818 LOGAN AVE
BELVIDERE, IL 61008
Boone County (815) 575-9887

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelli Pollard's NPI number?

The NPI number for Shelli Pollard is 1053786269. It was assigned to this individual provider in the NPPES registry on December 14, 2015.

Where is Shelli Pollard located?

Shelli Pollard practices at 1818 Logan Ave, Belvidere, IL 61008. The listed phone number is (815) 575-9887.

What is Shelli Pollard's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shelli Pollard enrolled in Medicare?

Yes. Shelli Pollard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shelli Pollard was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.