CHARLENE R EARLEY (L.C.S.W.) – Clinical Social Worker, NPI 1215095567

CHARLENE R EARLEY (L.C.S.W.) is a healthcare provider. based in Kankakee, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials L.C.S.W.. They hold a License No. 149008867 (IL). The NPI Number for CHARLENE R EARLEY (L.C.S.W.) is 1215095567

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
CHARLENE R EARLEY (L.C.S.W.)
NPI
1215095567
Phone
(815) 933-2240
Address
1905 W Court St
Enumeration Date
5 December 2006
Last Update Date
19 March 2020

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
7517053077
Professional Enrollment ID
I20260416000517
Address ID
TN384010612Co2752XDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for CHARLENE R EARLEY (L.C.S.W.)

  • 1905 W Court St

    Kankakee, IL 609013163

    Phone: (815) 933-2240

    Fax: (815) 935-7261

    Type: Location

  • Brown Boulevard, Bourbonnais, Kankakee County, Illinois, 60914, United States

    BOURBONNAIS, IL 609142325

    Phone: (708) 284-1255

    Type: Mailing

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: 2007-10-12

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
I20071012000657IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes20811$0
View full utilization report →

Insurance plans in this area (ZIP 60901)

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Reviews

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Frequently asked questions

What is the registry number for CHARLENE R EARLEY (L.C.S.W.)?
The registry entry for CHARLENE R EARLEY (L.C.S.W.) shows NPI 1215095567.
Does the public listing show CHARLENE R EARLEY (L.C.S.W.) as active?
CHARLENE R EARLEY (L.C.S.W.)'s NPI record reflects an active status in NPPES.
Which specialty label fits CHARLENE R EARLEY (L.C.S.W.)?
NPPES ties CHARLENE R EARLEY (L.C.S.W.) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to CHARLENE R EARLEY (L.C.S.W.)?
CHARLENE R EARLEY (L.C.S.W.) shows a connection to Kankakee, Illinois in registry-derived data.
Who maintains CHARLENE R EARLEY (L.C.S.W.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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