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MS. SHELLY L PATCHETT LCSW
NPI 1215070487
Social Worker - Clinical in Rockton, IL

Active since February 15, 2007PECOS EnrolledAccepts Medicare Assignment
1107 N BLACKHAWK BLVD, SUITE 8, ROCKTON, IL 61072(815) 494-9115(815) 926-5301 Get Directions Write a Review

NPPES record last updated: July 8, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Shelly L Patchett Lcsw NPPES

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

MS. SHELLY L PATCHETT LCSW (NPI 1215070487) is an individual clinical provider in Rockton, Illinois, licensed in Illinois (149.009828) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1215070487
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SHELLY L PATCHETTCredential: LCSW
Location Address1107 N BLACKHAWK BLVD, SUITE 8Rockton, IL 61072-1500
Mailing Address1107 N Blackhawk Blvd, Suite 8Rockton, IL 61072-1500 · (815) 494-9115 · Fax (815) 926-5301
Phone(815) 494-9115
Fax(815) 926-5301
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 15, 2007
Last NPPES UpdateJuly 8, 2013
✔ NPI 1215070487 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 · 149.009828
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.
1107 N BLACKHAWK BLVD, Rockton, IL 61072
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Shelly L Patchett 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 ID3577786243
PECOS Enrollment IDI20140527001480
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 Shelly Patchett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stateline Counseling Services LLC
Same address
Clinical
1107 N BLACKHAWK BLVD, SUITE 8
Rockton, IL 61072
  • Reassigned Medicare billing, Illinois enrollment
NPI 1033551320 (815) 494-9115

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
178 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61072 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.

STATELINE COUNSELING SERVICES LLC
Social Worker (Clinical)
1107 N BLACKHAWK BLVD, SUITE 8
ROCKTON, IL 61072
Winnebago County (815) 494-9115

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 Shelly Patchett's NPI number?

The NPI number for Shelly Patchett is 1215070487. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Shelly Patchett located?

Shelly Patchett practices at 1107 N Blackhawk Blvd Suite 8, Rockton, IL 61072. The listed phone number is (815) 494-9115.

What is Shelly Patchett's specialty?

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

Is Shelly Patchett enrolled in Medicare?

Yes. Shelly Patchett 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.

Which organization bills Medicare for Shelly Patchett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelly Patchett reassigns Medicare benefits to Stateline Counseling Services LLC (Rockton, 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 Shelly Patchett'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 Shelly Patchett was last updated on July 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.