Individual provider Active NPI

Shelby Lynne Duran, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1396460382
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.027483 Issued in IL
Practice address
1616 N Damen Ave Ste 301
Chicago, IL 60647-5536
Phone
(888) 428-7890
NPI assigned
Oct 11, 2022
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.107125 IL
Clinical Social Worker 1041C0700X 149.027483 IL Primary

Addresses

Primary practice location

1616 N Damen Ave Ste 301
Chicago, IL 60647-5536

Mailing address

1621 N Honore St Apt 1F
Chicago, IL 60622-1303

Other identifiers 1

IdentifierTypeStateIssuer
150.107125OtherILIDFPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260318001684 IL Practitioner - Clinical Social Worker 6406330448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

155 N Michigan Ave
Suite 201
Chicago, IL 60601-7940

3831 N Fremont St Apt
Suite 415
Chicago, IL 60613-3064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
150.107125ILMDSocial Worker
149.027483ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. Clinical CurrentSince Aug 7, 2023 Accepting new patients
Sage Therapy Chicago, PLLC CurrentSince Mar 9, 2026 Accepting new patients

Locations

155 N Michigan Ave
Ste 201
Chicago, IL 60601
Phone (312) 219-6335

1616 N Damen Ave
Ste 301
Chicago, IL 60647
Phone (312) 761-4720

3047 N Lincoln Ave
Chicago, IL 60657
Phone (312) 819-7381

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1396460382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 N HONORE ST APT 1F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 N DAMEN AVE STE 301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475536",
            "telephone_number": "888-428-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN",
        "first_name": "SHELBY",
        "middle_name": "LYNNE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.107125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.027483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDFPR",
            "identifier": "150.107125",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.