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MARY EILEEN O'SULLIVAN LCSW
NPI 1417660168
Social Worker - Clinical in St Charles, IL

Active since December 27, 2022PECOS Enrolled
905 MANLEY RD, ST CHARLES, IL 60174(630) 624-9620 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Eileen O'sullivan Lcsw NPPES

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

MARY EILEEN O'SULLIVAN LCSW (NPI 1417660168) is an individual clinical provider in St Charles, Illinois, licensed in Illinois (149.024800) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417660168
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY EILEEN O'SULLIVANCredential: LCSW
Location Address905 MANLEY RDSt Charles, IL 60174-5561
Mailing Address905 Manley RdSt Charles, IL 60174-5561 · (630) 624-9620
Phone(630) 624-9620
Sole ProprietorYes
Enumeration DateDecember 27, 2022
Last NPPES UpdateMay 21, 2024
NPPES CertifiedMay 21, 2024
✔ NPI 1417660168 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 · 149.024800
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.
905 MANLEY RD, St Charles, IL 60174
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Other Names 1

Former Name (1)Mary Eileen O'sullivan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Eileen O'sullivan Lcsw 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.

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.

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 Mary O'sullivan's NPI number?

The NPI number for Mary O'sullivan is 1417660168. It was assigned to this individual provider in the NPPES registry on December 27, 2022. The provider is also known as Mary Eileen O'sullivan.

Where is Mary O'sullivan located?

Mary O'sullivan practices at 905 Manley Rd, St Charles, IL 60174. The listed phone number is (630) 624-9620.

What is Mary O'sullivan's specialty?

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

Is Mary O'sullivan enrolled in Medicare?

Yes. Mary O'sullivan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary O'sullivan was last updated on May 21, 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.