FRANK MATLOCK (LCSW) – Clinical Social Worker, NPI 1205416724

FRANK MATLOCK (LCSW) is a healthcare provider. based in O fallon, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149.024079 (IL). The NPI Number for FRANK MATLOCK (LCSW) is 1205416724

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
FRANK MATLOCK (LCSW)
NPI
1205416724
Phone
(618) 726-2041
Address
7 Eagle Ctr Ste B-1
Enumeration Date
9 April 2021
Last Update Date
8 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184622331
Graduation Year
2017 (9 years ago)
PAC ID
7416349808
Group Practice PAC ID
2961545173
Professional Enrollment ID
I20220114001255
Address ID
IL620023915AL2615XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for FRANK MATLOCK (LCSW)

  • 7 Eagle Ctr Ste B-1

    O Fallon, IL 622691946

    Phone: (618) 726-2041

    Type: Location

  • 902 W MAIN ST

    WEST FRANKFORT, IL 628962210

    Phone: (618) 937-6483

    Fax: (618) 937-1440

    Type: Mailing

  • 2615 EDWARDS ST

    ALTON, IL 620023915

    Phone: (618) 462-2331

    Fax: (618) 462-7160

    Type: Location

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: 2022-01-14

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
I20220114001255IClinical 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 62269)

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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
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
-IL

Reviews

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Frequently asked questions

Is there an official ID for FRANK MATLOCK (LCSW) in U.S. healthcare records?
The official identifier for FRANK MATLOCK (LCSW) is NPI 1205416724.
Active or inactive — what applies to FRANK MATLOCK (LCSW)?
You should see FRANK MATLOCK (LCSW) as active in CMS-hosted NPPES data.
What area of care is associated with FRANK MATLOCK (LCSW)?
FRANK MATLOCK (LCSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Illinois is FRANK MATLOCK (LCSW) registered?
Use O Fallon, Illinois as the headline location for FRANK MATLOCK (LCSW) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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