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

Q: 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.

Q: What is Michelle Conderman's specialty?

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

Active since April 22, 2024PECOS EnrolledAccepts Medicare Assignment

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: July 26, 2026.

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

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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 and is a graduate of Other (2023).

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

Phone(815) 973-1077

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

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

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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

Michelle Renee Conderman Lsw, Cadc 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 ID7618405937

PECOS Enrollment IDI20250114000891

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.

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.

ROBERT LOVUS DILLON II

Counselor (Mental Health)