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CHARLENE R EARLEY L.C.S.W.
NPI 1215095567
Social Worker - Clinical in Bourbonnais, IL

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
475 BROWN BLVD STE 101, BOURBONNAIS, IL 60914(708) 284-1255 Get Directions Write a Review

NPPES record last updated: March 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2020, Mar 17, 2018, Dec 11, 2017 (3 updates tracked since 2017).

About Charlene R Earley L.c.s.w. NPPES

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

CHARLENE R EARLEY L.C.S.W. (NPI 1215095567) is an individual clinical provider in Bourbonnais, Illinois, licensed in Illinois (149008867) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kankakee, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1995).

NPPES Registry Identity

NPI1215095567
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCHARLENE R EARLEYCredential: L.C.S.W.
Location Address475 BROWN BLVD STE 101Bourbonnais, IL 60914-2325
Mailing Address475 Brown Blvd Ste 101Bourbonnais, IL 60914-2325 · (708) 284-1255
Phone(708) 284-1255
Sole ProprietorYes
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1995
Enumeration DateDecember 5, 2006
Last NPPES UpdateMarch 19, 20203 updates tracked since enumeration
NPPES CertifiedMarch 19, 2020
✔ NPI 1215095567 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 · 149008867
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.
475 BROWN BLVD STE 101, Bourbonnais, IL 60914
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Secondary Practice Location 1

Location 11905 W Court StKankakee, IL 60901-3163 · Phone (815) 933-2240 · Fax (815) 935-7261

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

Charlene R Earley L.c.s.w. 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 ID7517053077
PECOS Enrollment IDI20260416000517
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 60914 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 4

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

JOCELYN FLORES
Behavior Technician
475 BROWN BLVD STE 101
BOURBONNAIS, IL 60914
Kankakee County (815) 763-1407
LAURA LATOCHA MA
Counselor (Mental Health)
475 BROWN BLVD STE 101
BOURBONNAIS, IL 60914
Kankakee County (815) 370-6100
KYLIE HAWKS RBT
Behavior Technician
475 BROWN BLVD STE 101
BOURBONNAIS, IL 60914
Kankakee County (815) 763-1406
FAITH LEONARD
Behavior Technician
475 BROWN BLVD STE 101
BOURBONNAIS, IL 60914
Kankakee County (815) 763-1406

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 Charlene Earley's NPI number?

The NPI number for Charlene Earley is 1215095567. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Charlene Earley located?

Charlene Earley practices at 475 Brown Blvd Ste 101, Bourbonnais, IL 60914. The listed phone number is (708) 284-1255.

What is Charlene Earley's specialty?

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

Is Charlene Earley enrolled in Medicare?

Yes. Charlene Earley 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 Charlene Earley was last updated on March 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.