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

Shelby Leeann Rodgers, LCSW

Individual provider Clinical Social Worker · NPI 1205691425

Shelby Leeann Rodgers, LCSW is a Clinical Social Worker in Mount Vernon, Illinois. Qualified in 2020, 6 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2024
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

11101 N Wells Bypass Rd
Mount Vernon, IL 62864-6588
Phone: (618) 927-6119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 405 W Jackson St, Carbondale, IL 62901-1462 — (618) 549-0721
  • 201 S 14th St, Herrin, IL 62948-3631 — (618) 942-2171
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 — (618) 684-3156

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149026554 (IL)
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X · Licence 149026554 (IL)

Record details

NPI number1205691425
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 16, 2024
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 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 Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Mount Vernon