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

Individual provider Clinical Social Worker · NPI 1205197415

Suellen Shively-Mack, LCSW is a Clinical Social Worker in Elgin, Illinois. Qualified in 1999, 27 years ago. Practices with Valley Counseling LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
27
Licensed in
IL
In the registry since
2012
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

240 Standish St
Elgin, IL 60123-6421
Phone: (847) 742-5717
Fax: (847) 742-8154
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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 149.010072 (IL)

Record details

NPI number1205197415
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 4, 2012
Last updated in NPPESJune 4, 2012

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Valley Counseling Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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