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Suellen Shively-Mack, L.C.S.W.

Clinical Social Worker in Elgin, IL · enumerated 2012 · practices at Kairos Family Center, Inc..

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.

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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.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-06-04.