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KEENEN STEVENSON
NPI 1225418973
Social Worker - Clinical in Park Ridge, IL

Active since June 08, 2015PECOS Enrolled
1440 RENAISSANCE DR STE 320, PARK RIDGE, IL 60068(847) 759-9110 Get Directions Write a Review

NPPES record last updated: May 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keenen Stevenson NPPES

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

KEENEN STEVENSON (NPI 1225418973) is an individual clinical provider in Park Ridge, Illinois and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225418973
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEENEN STEVENSON
Location Address1440 RENAISSANCE DR STE 320Park Ridge, IL 60068-1471
Mailing Address1440 Renaissance Dr Ste 320Park Ridge, IL 60068-1471 · (847) 759-9110
Phone(847) 759-9110
Sole ProprietorNo
Enumeration DateJune 8, 2015
Last NPPES UpdateMay 27, 2024
NPPES CertifiedMay 27, 2024
✔ NPI 1225418973 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
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
1440 RENAISSANCE DR STE 320, Park Ridge, IL 60068
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keenen Stevenson 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 Keenen Stevenson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,203 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Colorado enrollment
  • 504 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

MS. NICKOLETA MERKOURIS PSYD
Psychologist
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
MEGAN PANICI LCSW
Social Worker (Clinical)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
GABRIEL JARA-ALMONTE EDWARDS LCSW
Social Worker (Clinical)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
NICOLE VARVAREZOS LSW
Social Worker
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
PAUL EDWARDS PMHNP
Registered Nurse (Psychiatric/Mental Health)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
MS. JANETTE M. DINGEE LCPC
Counselor (Mental Health)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
ERICA L HUNGERFORD LCPC
Counselor (Professional)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (872) 356-6150
MR. GARRETT RUSSELL PLUHAR-SCHAEFFER LCSW
Social Worker (Clinical)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (212) 212-1214

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 Keenen Stevenson's NPI number?

The NPI number for Keenen Stevenson is 1225418973. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Where is Keenen Stevenson located?

Keenen Stevenson practices at 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068. The listed phone number is (847) 759-9110.

What is Keenen Stevenson's specialty?

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

Is Keenen Stevenson enrolled in Medicare?

Yes. Keenen Stevenson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keenen Stevenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keenen Stevenson reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). 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 Keenen Stevenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keenen Stevenson accept?

Health plans from Anthem Blue Cross and Blue Shield and Cigna Healthcare list Keenen Stevenson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keenen Stevenson was last updated on May 27, 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.