Suellen Shively-Mack, L.C.S.W.
NPI 1205197415 · Clinical Social Worker · Elgin, IL
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Suellen Shively-Mack, L.C.S.W. is a Clinical Social Worker provider in Elgin, IL (NPI 1205197415).
Provider details
- NPI number
- 1205197415
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- L.C.S.W.
- Sex
- Female
- Sole proprietor
- No
- License
- 149.010072 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-06-04
- Last updated
- 2012-06-04
Frequently asked questions
- What is Suellen Shively-Mack's NPI number?
- Suellen Shively-Mack's National Provider Identifier (NPI) is 1205197415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Suellen Shively-Mack's specialty?
- Suellen Shively-Mack is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Suellen Shively-Mack located?
- Suellen Shively-Mack's practice location on file with NPPES is 240 Standish St, Elgin, IL 60123-6421.
- What is Suellen Shively-Mack's phone number?
- The practice phone number listed in the NPPES registry for Suellen Shively-Mack is (847) 742-5717.
- Does Suellen Shively-Mack accept Medicare?
- Suellen Shively-Mack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Suellen Shively-Mack's NPI active?
- Yes — Suellen Shively-Mack's NPI (1205197415) is active in the NPPES registry as of the last update on 2012-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.