COREY SHUCK (LSW) – Social Worker, NPI 1255086096

COREY SHUCK (LSW) is a healthcare provider. based in Chicago, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LSW. They hold a License No. 150.105528 (IL). The NPI Number for COREY SHUCK (LSW) is 1255086096

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
COREY SHUCK (LSW)
NPI
1255086096
Phone
(651) 508-2365
Address
369 W GRAND AVE APT 3501
Enumeration Date
21 February 2022
Last Update Date
21 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7739008330
Graduation Year
2021 (5 years ago)
PAC ID
3870038359
Group Practice PAC ID
7012210461
Professional Enrollment ID
I20240709001165
Address ID
IL606142021CH2418XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for COREY SHUCK (LSW)

  • 369 W GRAND AVE APT 3501

    CHICAGO, IL 606544558

    Phone: (651) 508-2365

    Type: Mailing

  • 2400 N ASHLAND AVE # 174

    CHICAGO, IL 606142021

    Phone: (773) 270-5600

    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: 2024-07-09

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
I20240709001165IClinical 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 60654)

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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: 7012210461View full group profile
NameSpecialtyState
Emergency MedicineIL
Physician AssistantIL
Family PracticeIL
Physician AssistantIL
-IL
Emergency MedicineIL
Family PracticeMI
Physician AssistantIL
Nurse PractitionerAZ
Family Practice, Addiction MedicineIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for COREY SHUCK (LSW)?
COREY SHUCK (LSW) — NPI 1255086096 — is the standard way to identify this listing.
Is COREY SHUCK (LSW) still practicing?
COREY SHUCK (LSW) is currently listed as active in the public NPI registry.
What is COREY SHUCK (LSW)'s specialty?
The listing groups COREY SHUCK (LSW) with Social Worker. Clinical services aligned with this taxonomy classification.
Does COREY SHUCK (LSW) list a practice location?
Patients near Chicago, Illinois may find COREY SHUCK (LSW) in results; validate coverage separately.
Why does COREY SHUCK (LSW) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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