Shelby Leeann Rodgers, LCSW
NPI 1205691425ActiveIndividual· Social Worker, Clinical· Mount Vernon, IL
Social Worker, Clinical (LCSW) with Southern Illinois Medical Services Nfp, practicing in Mount Vernon, Illinois. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1205691425 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Feb 16, 2024 |
| Last updated in NPPES | Aug 4, 2025 |
| Certified by provider | Aug 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149026554 | IL |
| Psychologist, Intellectual & Developmental Disabilities | 103TM1800X | 149026554 | 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 |
| Telehealth | Offers telehealth |
Medical group
- Southern Illinois Medical Services NfpCarterville, IL · 334 clinicians
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All 32 clinical social workers in Mount Vernon · All clinical social workers in Illinois