Shannon Dudzienski, LCSW
NPI 1164162921ActiveIndividual· Social Worker, Clinical· Wheaton, IL
Social Worker, Clinical (LCSW) with Edgewood Clinical Services P.C., practicing in Wheaton, Illinois. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1164162921 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Mar 30, 2022 |
| Last updated in NPPES | Sep 8, 2025 |
| Certified by provider | Sep 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149029653 | IL |
| Counselor | 101Y00000X | 150105087 | IL |
| Social Worker | 104100000X | — | — |
| Social Worker | 104100000X | 150105087 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IL) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Edgewood Clinical Services P.C.Orland Park, IL · 310 clinicians
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