Shelby Gordon, is a medicare enrolled "Social Worker - Clinical" provider in Chicago, 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 Clarity Clinic Llc and her current practice location is
410 S Michigan Ave Ste 928, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 248-3190.
Shelby Gordon is licensed to practice in Illinois (license number 149026318) 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 1952966905.
Healthcare Provider's Profile
| Full Name | Shelby Gordon |
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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 | 410 S Michigan Ave Ste 928, Chicago, 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:
- Shelby Gordon graduated from medical school in 2020
NPI Data:
- NPI Number: 1952966905
- Provider Enumeration Date: 05/06/2019
- Last Update Date: 10/08/2026
Medicare PECOS Information:
- PECOS PAC ID: 5991140113
- Enrollment ID: I20240228000357
Medical Identifiers
Medical identifiers for Shelby Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952966905 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 149026318 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Clarity Clinic Llc | 7517284755 | 110 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shelby Gordon allows following entities to bill medicare on her behalf.
| Entity Name | Clarity Clinic LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063803856
PECOS PAC ID: 7517284755
Enrollment ID: O20150326001469 |
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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. Shelby Gordon 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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Shelby Gordon,
410 S Michigan Ave Ste 928,
Chicago, IL 60605-1399
Ph: (773) 842-8877 | Shelby Gordon,
410 S Michigan Ave Ste 928,
Chicago, IL 60605-1399
Ph: (312) 248-3190 |
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