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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHELBY GORDON
NPI 1952966905
Social Worker - Clinical in Chicago, IL

Active since May 06, 2019PECOS EnrolledAccepts Medicare Assignment
410 S MICHIGAN AVE STE 928, CHICAGO, IL 60605(312) 248-3190 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, May 6, 2019 (2 updates tracked since 2019).

About Shelby Gordon NPPES

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

SHELBY GORDON (NPI 1952966905) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149026318) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Riverside, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1952966905
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHELBY GORDON
Location Address410 S MICHIGAN AVE STE 928Chicago, IL 60605-1399
Mailing Address410 S Michigan Ave Ste 928Chicago, IL 60605-1399 · (773) 842-8877
Phone(312) 248-3190
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 6, 2019
Last NPPES UpdateOctober 8, 20262 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1952966905 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
License✔ Licensed in IL · 149026318
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
410 S MICHIGAN AVE STE 928, Chicago, IL 60605
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Secondary Practice Location 1

Location 12085 Rustin AveRiverside, CA 92507-2498 · Phone (951) 955-8000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelby Gordon 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 ID5991140113
PECOS Enrollment IDI20240228000357
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 Shelby Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clarity Clinic PLLC
1.3 mi
Mental Health (Including Community Mental Health Center)
1 E SUPERIOR ST, SUITE 306
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 130 clinicians in this Medicare group
NPI 1063803856 (312) 754-9404

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 60605 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 14

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

MR. JEFFREY L. VANDENBUSSCHE MA, LCPC
Counselor (Professional)
410 S MICHIGAN AVE STE 928
CHICAGO, IL 60605
Cook County (312) 248-3190
MS. SYDNEY L WALDEN LCSW
Social Worker (Clinical)
410 S MICHIGAN AVE STE 928
CHICAGO, IL 60605
Cook County (312) 248-3190
JOSHUA BATE LPC
Counselor (Mental Health)
410 S MICHIGAN AVE STE 928
CHICAGO, IL 60605
Cook County (312) 248-3190
MRS. JASMINE GOINS LCSW
Social Worker (Clinical)
410 S MICHIGAN AVE STE 928
CHICAGO, IL 60605
Cook County (312) 248-3190
RACHEL JEANINE KURT
Counselor (Professional)
410 S MICHIGAN AVE STE 928
CHICAGO, IL 60605
Cook County (312) 248-3190
DANA BATES NORDEN
Social Worker (Clinical)
410 S MICHIGAN AVE STE 928
CHICAGO, IL 60605
Cook County (312) 248-3190
AMBER DICOSOLA
Counselor (Mental Health)
410 S MICHIGAN AVE STE 928
CHICAGO, IL 60605
Cook County (312) 248-3190
DK THERAPY LLC
Counselor (Mental Health)
410 S MICHIGAN AVE STE 928
CHICAGO, IL 60605
Cook County (312) 248-3190

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 Shelby Gordon's NPI number?

The NPI number for Shelby Gordon is 1952966905. It was assigned to this individual provider in the NPPES registry on May 6, 2019.

Where is Shelby Gordon located?

Shelby Gordon practices at 410 S Michigan Ave Ste 928, Chicago, IL 60605. The listed phone number is (312) 248-3190.

What is Shelby Gordon's specialty?

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

Is Shelby Gordon enrolled in Medicare?

Yes. Shelby Gordon 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.

Which organization bills Medicare for Shelby Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Gordon reassigns Medicare benefits to Clarity Clinic PLLC (Chicago, IL). 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 Shelby Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shelby Gordon was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.