ALICE C ELLERMETS LSW
NPI 1699329268
Social Worker - Clinical in Champaign, IL

Active since July 31, 2019PECOS EnrolledAccepts Medicare Assignment
1802 S MATTIS AVE, CHAMPAIGN, IL 61821(217) 383-1850(217) 383-3439 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2023, Jul 31, 2019 (2 updates tracked since 2019).

About Alice C Ellermets Lsw NPPES

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

ALICE C ELLERMETS LSW (NPI 1699329268) is an individual clinical provider in Champaign, Illinois and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1699329268
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameALICE C ELLERMETSCredential: LSW
Location Address1802 S MATTIS AVEChampaign, IL 61821-5923
Mailing Address611 W. Park St., FapcUrbana, IL 61801
Fax(217) 383-3439
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 31, 2019
Last NPPES UpdateMarch 9, 20232 updates tracked since enumeration
NPPES CertifiedMarch 7, 2023
NPI 1699329268 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 ListedCounselorTaxonomy 101Y00000X · License 150-103578 (IL)
1802 S MATTIS AVE, Champaign, IL 61821

Secondary Practice Location 1

Location 1151 N Main StDecatur, IL 62523-1206 · Phone (217) 362-6262 ext. 4776 · Fax (217) 362-6290

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

Alice C Ellermets Lsw 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 ID446620074
PECOS Enrollment IDI20221223000026
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61821 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 20

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

Durable Medical Equipment & Medical Supplies
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Pharmacist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Pharmacist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Pharmacist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Pharmacist
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Durable Medical Equipment & Medical Supplies
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Physician Assistant (Surgical)
1802 S MATTIS AVE
CHAMPAIGN, IL 61821
Durable Medical Equipment & Medical Supplies
1802 S MATTIS AVE
CHAMPAIGN, IL 61821

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 Alice Ellermets's NPI number?

The NPI number for Alice Ellermets is 1699329268. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Where is Alice Ellermets located?

Alice Ellermets practices at 1802 S Mattis Ave, Champaign, IL 61821. The listed phone number is (217) 383-1850.

What is Alice Ellermets's specialty?

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

Is Alice Ellermets enrolled in Medicare?

Yes. Alice Ellermets 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.

Is Alice Ellermets affiliated with any hospitals?

According to CMS data, Alice Ellermets is affiliated with Carle Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Alice Ellermets was last updated on March 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.