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

Shannon Dudzienski, LCSW

Individual provider Counselor · NPI 1164162921

Shannon Dudzienski, LCSW is a Clinical Social Worker in Wheaton, Illinois. Qualified in 2020, 6 years ago. Practices with Edgewood Clinical Services PC, a 292-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2022
Specialties on file
4
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

2S344 Seneca Dr
Wheaton, IL 60189-5965
Phone: (630) 800-5650
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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 149029653 (IL)
Counselor Taxonomy 101Y00000X · Licence 150105087 (IL)
Social Worker Taxonomy 104100000X
Social Worker Taxonomy 104100000X · Licence 150105087 (IL)

Record details

NPI number1164162921
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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