EILEEN C SULLIVAN LCSW
NPI 1174045827
Social Worker - Clinical in St Charles, IL

Q: What is Eileen Sullivan's NPI number?

The NPI number for Eileen Sullivan is 1174045827. It was assigned to this individual provider in the NPPES registry on July 14, 2017.

Q: What is Eileen Sullivan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eileen Sullivan was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since July 14, 2017PECOS EnrolledAccepts Medicare Assignment

1120 E MAIN ST STE 201, ST CHARLES, IL 60174(630) 377-6613(630) 377-6225 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 14, 2017 (2 updates tracked since 2017).

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About Eileen C Sullivan Lcsw NPPES

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

EILEEN C SULLIVAN LCSW (NPI 1174045827) is an individual clinical provider in St Charles, Illinois, licensed in Illinois (149.027189) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1174045827

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameEILEEN C SULLIVANCredential: LCSW

Location Address1120 E MAIN ST STE 201St Charles, IL 60174-2287

Mailing Address1120 E Main St Ste 201St Charles, IL 60174-2287 · (630) 377-6613 · Fax (630) 377-6225

Phone(630) 377-6613

Fax(630) 377-6225

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 14, 2017

Last NPPES UpdateMay 30, 20242 updates tracked since enumeration

NPPES CertifiedMay 30, 2024

✔ NPI 1174045827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149.027189

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 150.101222 (IL)

1120 E MAIN ST STE 201, St Charles, IL 60174

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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

Eileen C Sullivan 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 ID42742538

PECOS Enrollment IDI20241022004065

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 60174 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 $59.81 – $181.38

Typical copayment $0.00 (range $14.95 – $45.34)

Most-billed visit code NA

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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 20

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

KATELYN LEE O'CONNELL LSW

Social Worker