Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Suellen Shively-Mack, L.C.S.W.
Clinical Social Worker in Elgin, IL · enumerated 2012.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1205197415
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Registry record
Entity type Individual (Type 1)
Name Suellen Shively-Mack
Credential L.C.S.W.
Sex Female
Practice address 240 Standish St, Elgin, IL, 60123
Phone (847) 742-5717
Fax (847) 742-8154
Enumeration date Jun 4, 2012
Last updated in NPPES Jun 4, 2012
Taxonomy & licenses
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 149.010072 (IL) Primary
LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy.
About the LCSW credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is NPI 1205197415 active?
Yes, as of the latest NPPES snapshot, NPI 1205197415 is active (record last updated 2012-06-04).
How do I verify Suellen Shively-Mack's NPI record?
Cross-check NPI 1205197415 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Other providers at this practice address
Browse all → Kairos Family Center, Inc. Community/Behavioral Health Agency · Elgin, IL NPI 1811190564 Margaret Flood Clinical Social Worker · Elgin, IL NPI 1972778215 Shelly Gehrke Clinical Social Worker · Elgin, IL NPI 1992950745 Carrie Reynolds Professional Counselor · Elgin, IL NPI 1114152824 Timothy Sweeney Professional Counselor · Elgin, IL NPI 1578803136 Association for Individual Development Mental Health Clinic/Center (Including Community Mental Health Center) · Elgin, IL NPI 1356257794
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-06-04.