SHAVAUGHN CAREY (LCSW) – Clinical Social Worker, NPI 1841741048

SHAVAUGHN CAREY (LCSW) is a healthcare provider. based in Chicago ridge, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 116334 (TX). The NPI Number for SHAVAUGHN CAREY (LCSW) is 1841741048

Main info

Female
Sole Proprietor
16 Years Of Experience
Name
SHAVAUGHN CAREY (LCSW)
NPI
1841741048
Phone
Not provided
Address
10643 MAJOR AVE
Enumeration Date
23 October 2016
Last Update Date
13 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
1153686126
Professional Enrollment ID
I20260225003935
Address ID
TX787042999AU1430XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:9State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

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Provider Addresses for SHAVAUGHN CAREY (LCSW)

  • 10643, Major Avenue, Chicago Ridge, Worth Township, Cook County, Illinois, 60415, United States

    3D

    CHICAGO RIDGE, IL 604152352

    Phone:

    Type: Mailing

  • 10725, South Western Avenue, Morgan Park, Chicago, Lake Township, Cook County, Illinois, 60643, United States

    CHICAGO, IL 606433135

    Phone: (773) 616-4461

    Type: Location

  • 6937 N INTERSTATE 35

    AUSTIN, TX 787523295

    Phone:

    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: 2026-02-25

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
I20260225003935IClinical Social WorkerTXTBD

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 60415)

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Reviews

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Frequently asked questions

How is SHAVAUGHN CAREY (LCSW) identified in CMS data?
CMS-hosted NPPES data lists SHAVAUGHN CAREY (LCSW) with NPI 1841741048.
Does the file indicate SHAVAUGHN CAREY (LCSW) is practicing under active NPI?
Directory data currently reports SHAVAUGHN CAREY (LCSW) as active.
What is SHAVAUGHN CAREY (LCSW)'s primary classification?
Clinical Social Worker is the headline specialty for SHAVAUGHN CAREY (LCSW) here. Clinical services aligned with this taxonomy classification.
Does SHAVAUGHN CAREY (LCSW) list a practice location?
Patients near Chicago Ridge, Illinois may find SHAVAUGHN CAREY (LCSW) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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