MS. SHARON GANELLEN (LCSW) – Clinical Social Worker, NPI 1720297484

MS. SHARON GANELLEN (LCSW) is a healthcare provider. based in Northbrook, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. The NPI Number for MS. SHARON GANELLEN (LCSW) is 1720297484

Main info

Female
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
MS. SHARON GANELLEN (LCSW)
NPI
1720297484
Phone
(847) 736-2814
Address
1000 SHERMER RD
Enumeration Date
21 May 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
3123841940
Graduation Year
1985 (41 years ago)
PAC ID
1557724556
Group Practice PAC ID
6103001797
Professional Enrollment ID
I20230823003385
Address ID
IL606577187CH1011XAVEX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

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Provider Addresses for MS. SHARON GANELLEN (LCSW)

  • 1000, Shermer Road, Northbrook, Northfield Township, Cook County, Illinois, 60062, United States

    NORTHBROOK, IL 600623731

    Phone: (847) 736-2814

    Mailing address matches the actual address.

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: 2023-08-23

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
I20230823003385IClinical 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 60062)

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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: 6103001797View full group profile
NameSpecialtyState
Clinical Social WorkerMD
Clinical PsychologistTX
Clinical PsychologistIL
Clinical PsychologistIL
Mental Health CounselorIL
Clinical Social WorkerIL
-IL
Marriage And Family TherapistTN

Reviews

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Frequently asked questions

What unique ID ties claims to MS. SHARON GANELLEN (LCSW)?
NPI 1720297484 is assigned to MS. SHARON GANELLEN (LCSW) under the national enumeration system.
Is MS. SHARON GANELLEN (LCSW)'s NPI currently valid?
The extract we use shows MS. SHARON GANELLEN (LCSW) as active.
What field does MS. SHARON GANELLEN (LCSW) work in?
You can think of MS. SHARON GANELLEN (LCSW) as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Does MS. SHARON GANELLEN (LCSW) practice in Illinois?
You will see Northbrook, Illinois on file for MS. SHARON GANELLEN (LCSW) alongside any extra practice locations.
What if Northbrook, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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