LISA M FOX (LCSW) – Clinical Social Worker, NPI 1184244261

Clinical Social Worker

LISA M FOX (LCSW) is a healthcare provider. based in Maryville, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149.022071 (IL). The NPI Number for LISA M FOX (LCSW) is 1184244261

Main info

Female

10 Years Of Experience

Accepts Medicare Assignment

Name

LISA M FOX (LCSW)

NPI

1184244261

Phone

(618) 484-9337

Address

2921 MARYVILLE RD STE B

Enumeration Date

20 April 2020

Last Update Date

28 November 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

6184849337

Graduation Year

2016 (10 years ago)

PAC ID

8022449032

Group Practice PAC ID

8921414947

Professional Enrollment ID

I20200507000246

Address ID

IL620625400MA2921XRDXX301

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience36

Completeness75

Years active:6State licenses:1Digital endpointsOther names

3,557 CLINICAL SOCIAL WORKER in IL

Provider Addresses for LISA M FOX (LCSW)

2921 MARYVILLE RD STE B
MARYVILLE, IL 620625400
Phone: (618) 484-9337
Type: Mailing
4460 N ILLINOIS ST STE 1
SWANSEA, IL 622261899
Phone: (618) 277-7570
Type: Location
448 WYLIE DR
NORMAL, IL 617615405
Phone: (888) 924-3786
Type: Mailing
50 NORTHGATE INDUSTRIAL DR
GRANITE CITY, IL 620406805
Phone: (888) 924-3786
Type: Location
2921 Maryville Rd Ste B
Maryville, IL 620625400
Phone: (618) 484-9337
Fax: (618) 484-9353
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2020-05-07

PECOS data refreshed: 2026-06-15

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20200507000246	I	Clinical Social Worker	IL	TBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
90837	Psychotherapy, 1 hour	213	15	$0
90791	Psychiatric diagnostic evaluation	20	12	$0

View full utilization report →

Insurance plans in this area (ZIP 62062)

Loading plans...

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: 8921414947View full group profile