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CAROLYN SELLERS LCSW
NPI 1871025940
Social Worker - Clinical in Chicago, IL

Active since March 29, 2017Opted out of Medicare · through Apr 11, 2027
2539 N KEDZIE BLVD STE 4, CHICAGO, IL 60647(312) 620-0408 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 11, 2020, Mar 29, 2017 (2 updates tracked since 2017).

About Carolyn Sellers Lcsw NPPES

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

CAROLYN SELLERS LCSW (NPI 1871025940) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149018581) and active in the NPI registry since March 2017. She has opted out of Medicare through April 11, 2027 and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1871025940
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAROLYN SELLERSCredential: LCSW
Location Address2539 N KEDZIE BLVD STE 4Chicago, IL 60647-1435
Mailing Address2539 N Kedzie Blvd Ste 4Chicago, IL 60647-1435 · (312) 620-0408
Phone(312) 620-0408
Sole ProprietorYes
Enumeration DateMarch 29, 2017
Last NPPES UpdateMarch 11, 20202 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1871025940 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 · 149018581
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.
2539 N KEDZIE BLVD STE 4, Chicago, IL 60647
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Secondary Practice Location 1

Location 13446 W Hirsch StChicago, IL 60651-2314 · Phone (815) 409-9805

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Carolyn Sellers Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 11, 2025 through April 11, 2027.

Opt-Out Effective DateApril 11, 2025
Opt-Out In Effect ThroughApril 11, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

MIRANDA STONE LCSW
Social Worker (Clinical)
2539 N KEDZIE BLVD STE 4
CHICAGO, IL 60647
Cook County (310) 776-0107
DR. SARAH R FLORENCE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2539 N KEDZIE BLVD STE 4
CHICAGO, IL 60647
Cook County (773) 609-3691
HANNAH CARLSON LCSW PLLC
Social Worker (Clinical)
2539 N KEDZIE BLVD STE 4
CHICAGO, IL 60647
Cook County (312) 425-4372

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 Carolyn Sellers's NPI number?

The NPI number for Carolyn Sellers is 1871025940. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Carolyn Sellers located?

Carolyn Sellers practices at 2539 N Kedzie Blvd Ste 4, Chicago, IL 60647. The listed phone number is (312) 620-0408.

What is Carolyn Sellers's specialty?

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

Is Carolyn Sellers enrolled in Medicare?

No. Carolyn Sellers has opted out of Medicare through April 11, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carolyn Sellers was last updated on March 11, 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.