MICHELLE RENEE CONDERMAN LSW, CADC
NPI 1073368031
Social Worker in Dixon, IL

Active since April 22, 2024PECOS Enrolled
325 IL ROUTE 2, DIXON, IL 61021(815) 973-1077 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 21, 2025, Dec 10, 2024, Apr 22, 2024 (3 updates tracked since 2024).

About Michelle Renee Conderman Lsw, Cadc NPPES

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

MICHELLE RENEE CONDERMAN LSW, CADC (NPI 1073368031) is an individual social worker in Dixon, Illinois, licensed in Illinois (150107507) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073368031
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMICHELLE RENEE CONDERMANCredential: LSW, CADC
Location Address325 IL ROUTE 2Dixon, IL 61021-9118
Mailing Address325 Il Route 2Dixon, IL 61021-9118 · (815) 973-1077
Sole ProprietorNo
Enumeration DateApril 22, 2024
Last NPPES UpdateFebruary 21, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1073368031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 150107507
Definition
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 37961 (IL)
325 IL ROUTE 2, Dixon, IL 61021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle Renee Conderman Lsw, Cadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Conderman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation, Substance Use Disorder
325 IL ROUTE 2
Dixon, IL 61021
  • Reassigned Medicare billing, Illinois enrollment
  • 58 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
325 IL ROUTE 2
DIXON, IL 61021
Licensed Practical Nurse
325 IL ROUTE 2
DIXON, IL 61021
Counselor (Mental Health)
325 IL ROUTE 2
DIXON, IL 61021
Counselor
325 IL ROUTE 2
DIXON, IL 61021
Social Worker (Clinical)
325 IL ROUTE 2
DIXON, IL 61021
Counselor (Mental Health)
325 IL ROUTE 2
DIXON, IL 61021
Licensed Practical Nurse
325 IL ROUTE 2
DIXON, IL 61021
Counselor (Mental Health)
325 IL ROUTE 2
DIXON, IL 61021

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 Michelle Conderman's NPI number?

The NPI number for Michelle Conderman is 1073368031. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Michelle Conderman located?

Michelle Conderman practices at 325 Il Route 2, Dixon, IL 61021. The listed phone number is (815) 973-1077.

What is Michelle Conderman's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Michelle Conderman enrolled in Medicare?

Yes. Michelle Conderman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michelle Conderman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Conderman reassigns Medicare benefits to Sinnissippi Centers, Inc. (Dixon, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Conderman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Conderman was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.