DELLA SAUNDERS CLEMENTS (LCSW) – Clinical Social Worker, NPI 1033953799

DELLA SAUNDERS CLEMENTS (LCSW) is a healthcare provider. based in Dekalb, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. The NPI Number for DELLA SAUNDERS CLEMENTS (LCSW) is 1033953799

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DELLA SAUNDERS CLEMENTS (LCSW)
NPI
1033953799
Phone
(815) 756-4875
Address
PO BOX 1109
Enumeration Date
19 June 2024
Last Update Date
19 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8157568501
Graduation Year
2010 (16 years ago)
PAC ID
0547700676
Group Practice PAC ID
9436451655
Professional Enrollment ID
I20240904002213
Address ID
IL601154117DE631XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for DELLA SAUNDERS CLEMENTS (LCSW)

  • PO BOX 1109

    DEKALB, IL 601157109

    Phone: (815) 756-4875

    Fax: (815) 756-2944

    Type: Mailing

  • 12 HEALTH SERVICES DR

    DEKALB, IL 601159637

    Phone: (815) 756-4875

    Fax: (815) 756-2944

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240904002213IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60115)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436451655View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Nurse PractitionerIL
Mental Health CounselorIL
Clinical Social WorkerIL
-IL
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

What is the registry number for DELLA SAUNDERS CLEMENTS (LCSW)?
The registry entry for DELLA SAUNDERS CLEMENTS (LCSW) shows NPI 1033953799.
Is DELLA SAUNDERS CLEMENTS (LCSW) currently accepting referrals based on NPI status?
Registry metadata lists DELLA SAUNDERS CLEMENTS (LCSW) as active.
How should patients interpret DELLA SAUNDERS CLEMENTS (LCSW)'s specialty?
The extract shows Clinical Social Worker for DELLA SAUNDERS CLEMENTS (LCSW). Clinical services aligned with this taxonomy classification.
Which community is linked to DELLA SAUNDERS CLEMENTS (LCSW)?
DELLA SAUNDERS CLEMENTS (LCSW) shows a connection to Dekalb, Illinois in registry-derived data.
Can I export DELLA SAUNDERS CLEMENTS (LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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