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

Individual provider Clinical Social Worker · NPI 1740947373

Shawn Nowotnik, LCSW is a Clinical Social Worker in St Charles, Illinois. Qualified in 2019, 7 years ago. Practices with Blue Lavender Clinical Services LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2021
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

100 Illinois St
St Charles, IL 60174-1866
Phone: (331) 575-4858
Fax: (708) 468-4991
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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 149023973 (IL)

Record details

NPI number1740947373
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 18, 2021
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Blue Lavender Clinical Services Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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