Kathryn Sheridan, PHD, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149025763 Issued in IL

Practice address

307 Indian Hills Dr
Rantoul, IL 61866-1456

Phone

(217) 418-6233

NPI assigned

Dec 29, 2023

Last updated

Dec 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Stellar Clinic CT PLLCGroup PAC ID 0840633368, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Silver Leaf Counseling PLLC

  • Clinical Social Worker
  • Rantoul, IL
  • NPI 1447043690
  Medicare reassignment NPD Authorized official
• Stellar Clinic CT PLLC

  • Mental Health Counselor
  • Detroit, MI
  • NPI 1609641042

  IL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1689443707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 CHATHAM RD # 4759",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 INDIAN HILLS DR",
            "city": "RANTOUL",
            "state": "IL",
            "postal_code": "618661456",
            "telephone_number": "217-418-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIDAN",
        "first_name": "KATHRYN",
        "credential": "PHD, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149025763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosecrance Inc
• Kathleen M Rouse
• Robert Schorsch, D.M.D
• McCall Rose Schunke
• Norman L. Schutt, D.D.S., M.S.
• Silver Leaf Counseling PLLC
• Erich N Slocum, D.O.
• Benjamin Clark Snodgrass, OTR/L
• Michael Stepuszek, DPT
• Erica Nicole Sutton, PA-C

• Clinical Social Worker in Rantoul, IL
• Providers in Rantoul, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.