JUSTIN LEIGH MCKEVITT (MSW,LCSW) – Clinical Social Worker, NPI 1053190728

JUSTIN LEIGH MCKEVITT (MSW,LCSW) is a healthcare provider. based in West frankfort, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW,LCSW. They hold a License No. 149.029379 (IL). The NPI Number for JUSTIN LEIGH MCKEVITT (MSW,LCSW) is 1053190728

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN LEIGH MCKEVITT (MSW,LCSW)
NPI
1053190728
Phone
(618) 326-2772
Address
902 W MAIN ST
Enumeration Date
22 September 2023
Last Update Date
8 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184622331
Graduation Year
2021 (5 years ago)
PAC ID
4486163110
Group Practice PAC ID
2961545173
Professional Enrollment ID
I20250603003457
Address ID
IL620023915AL2615XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for JUSTIN LEIGH MCKEVITT (MSW,LCSW)

  • 902 W MAIN ST

    WEST FRANKFORT, IL 628962210

    Phone: (618) 326-2772

    Fax: (618) 937-1440

    Type: Mailing

  • 2615 EDWARDS ST

    ALTON, IL 620023915

    Phone: (877) 467-3123

    Fax: (618) 462-2504

    Type: Location

  • 6 POWDER VALLEY DR

    BELLEVILLE, IL 622231925

    Phone: (314) 328-0955

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250603003457IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62896)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961545173View full group profile
NameSpecialtyState
Mental Health CounselorIL
-IL
Geriatric Psychiatry, PsychiatryIL
-IL
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
-IL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What NPI should I save for JUSTIN LEIGH MCKEVITT (MSW,LCSW)?
Save NPI 1053190728 if you need a stable reference for JUSTIN LEIGH MCKEVITT (MSW,LCSW).
Is JUSTIN LEIGH MCKEVITT (MSW,LCSW)'s NPI currently valid?
The extract we use shows JUSTIN LEIGH MCKEVITT (MSW,LCSW) as active.
What kind of provider is JUSTIN LEIGH MCKEVITT (MSW,LCSW)?
The page reflects Clinical Social Worker for JUSTIN LEIGH MCKEVITT (MSW,LCSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for JUSTIN LEIGH MCKEVITT (MSW,LCSW)?
The page summarizes West Frankfort, Illinois for JUSTIN LEIGH MCKEVITT (MSW,LCSW); expand the address list for detail.
Is JUSTIN LEIGH MCKEVITT (MSW,LCSW) a real provider?
This page reflects official NPPES data for NPI 1053190728. Always confirm identity and privileges with the practice and licensing boards.

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