JESSICA L MCCLELLAN (LCSW) – Clinical Social Worker, NPI 1487209359

JESSICA L MCCLELLAN (LCSW) is a healthcare provider. based in Champaign, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149.021411 (IL). The NPI Number for JESSICA L MCCLELLAN (LCSW) is 1487209359

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA L MCCLELLAN (LCSW)
NPI
1487209359
Phone
(217) 352-0200
Address
701 DEVONSHIRE DR STE B1
Enumeration Date
7 August 2019
Last Update Date
8 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2175305608
Graduation Year
2017 (9 years ago)
PAC ID
9234467051
Group Practice PAC ID
2062889371
Professional Enrollment ID
I20190819000101
Address ID
IL618532764MA1204XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

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Provider Addresses for JESSICA L MCCLELLAN (LCSW)

  • Devonshire Drive, Champaign, Champaign County, Illinois, 61821, United States

    CHAMPAIGN, IL 618207337

    Phone: (217) 352-0200

    Fax: (217) 607-1139

    Type: Mailing

  • 1204 E OAK ST STE 2-2

    MAHOMET, IL 618532795

    Phone: (217) 530-5608

    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: 2019-08-19

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
I20190819000101IClinical 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
90837Psychotherapy, 1 hour10312$0
View full utilization report →

Insurance plans in this area (ZIP 61820)

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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: 2062889371View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Nurse PractitionerIL
Mental Health CounselorIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Where can patients find JESSICA L MCCLELLAN (LCSW)'s NPI?
You can confirm JESSICA L MCCLELLAN (LCSW) with NPI 1487209359; it appears in the national provider directory.
Is JESSICA L MCCLELLAN (LCSW) active in the national directory?
JESSICA L MCCLELLAN (LCSW)'s public NPI profile is in an active state.
Does JESSICA L MCCLELLAN (LCSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for JESSICA L MCCLELLAN (LCSW). Clinical services aligned with this taxonomy classification.
What location shows for JESSICA L MCCLELLAN (LCSW)?
We surface Champaign, Illinois for JESSICA L MCCLELLAN (LCSW) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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