Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eileen C Sullivan, LCSW

Individual provider Social Worker · NPI 1174045827

Eileen C Sullivan, LCSW is a Clinical Social Worker in St Charles, Illinois. Qualified in 2015, 11 years ago. Practices with Centennial Counseling Center, PC, a 26-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2017
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1120 E Main St Ste 201
St Charles, IL 60174-2287
Phone: (630) 377-6613
Fax: (630) 377-6225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.027189 (IL)
Social Worker Taxonomy 104100000X · Licence 150.101222 (IL)

Record details

NPI number1174045827
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 14, 2017
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing address1120 E Main St Ste 201, St Charles, IL 60174-2287

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Centennial Counseling Center, Pc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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