Shannon Dudzienski, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Wheaton, Illinois. She graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Edgewood Clinical Services P.c. and her current practice location is
2s344 Seneca Dr, Wheaton, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 800-5650.
Shannon Dudzienski is licensed to practice in Illinois (license number 149029653) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164162921.
Healthcare Provider's Profile
| Full Name | Shannon Dudzienski |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 2s344 Seneca Dr, Wheaton, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shannon Dudzienski graduated from medical school in 2020
NPI Data:
- NPI Number: 1164162921
- Provider Enumeration Date: 03/30/2022
- Last Update Date: 09/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 2062903545
- Enrollment ID: I20251112002450
Medical Identifiers
Medical identifiers for Shannon Dudzienski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164162921 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 150105087 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149029653 (Illinois) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 150105087 (Illinois) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Edgewood Clinical Services P.c. | 3971963901 | 282 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Dudzienski is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Shannon Dudzienski, LCSW
55 E Loop Rd Ste 301,
Wheaton, IL 60189-1938
Ph: () - | Shannon Dudzienski, LCSW
2s344 Seneca Dr,
Wheaton, IL 60189-5965
Ph: (630) 800-5650 |
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