Individual provider Active NPI

Durrell Sheppard, LCSW

  • Clinical Social Worker
  • Oak Lawn, IL
National Provider Identifier
1578059812
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.020290 Issued in IL
Practice address
9518 S 53Rd Ave
Oak Lawn, IL 60453-2902
Phone
(773) 450-8043
NPI assigned
Jul 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.020290 IL Primary

Addresses

Primary practice location

9518 S 53Rd Ave
Oak Lawn, IL 60453-2902

Mailing address

9518 S 53Rd Ave
Oak Lawn, IL 60453-2902
Phone (773) 450-8043

Other practice location 1

1100 Lake St
Oak Park, IL 60301-1015
Phone (773) 450-8043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.020290ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Better Communities LLC Clinical PastSince Mar 20, 2022 Accepting new patients
Howard Brown Health Center PastSince Oct 1, 2018 Accepting new patients
Howard Brown Health Center Past Accepting new patients
Howard Brown Health Center Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1578059812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9518 S 53RD AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532902",
            "telephone_number": "773-450-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9518 S 53RD AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532902",
            "telephone_number": "773-450-8043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Lake St",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011015",
            "country_code": "US",
            "telephone_number": "773-450-8043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "DURRELL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.020290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.