MR. THOMAS KELLY STEWART (L,C,S,W.) – Clinical Social Worker, NPI 1265677421

Clinical Social Worker

MR. THOMAS KELLY STEWART (L,C,S,W.) is a healthcare provider. based in Decatur, Illinois. specializing in Clinical Social Worker. They hold the professional credentials L,C,S,W.. They hold a License No. 149.011779 (IL). The NPI Number for MR. THOMAS KELLY STEWART (L,C,S,W.) is 1265677421

Main info

Male

23 Years Of Experience

Accepts Medicare Assignment

Name

MR. THOMAS KELLY STEWART (L,C,S,W.)

NPI

1265677421

Phone

(217) 233-1327

Address

2490 N WATER ST

Enumeration Date

2 December 2008

Last Update Date

2 December 2008

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2174236500

Graduation Year

2003 (23 years ago)

PAC ID

6608024955

Group Practice PAC ID

5092772285

Professional Enrollment ID

I20120912000303

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience48

Completeness75

Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for MR. THOMAS KELLY STEWART (L,C,S,W.)

2490, North Water Street, Decatur, Macon County, Illinois, 62526, United States
SUITE ONE
DECATUR, IL 625264251
Phone: (217) 233-1327
Mailing address matches the actual address.

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: 2012-09-12

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

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
I20120912000303	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.

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

Insurance plans in this area (ZIP 62526)

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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: 5092772285View full group profile

Name	Specialty	State
PAMELA GREMMELS (L.C.S.W.)	Clinical Social Worker	IL
MS. KAREN L HAMMOND (MSW LCSW)	Clinical Social Worker	IL
ROHIDAS T. PATIL (MD)	Psychiatry, Geriatric Medicine	IL
MS. MARY CLARE CUMMINS (LCPC)	Mental Health Counselor	IL

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. THOMAS KELLY STEWART (L,C,S,W.)?

MR. THOMAS KELLY STEWART (L,C,S,W.) — NPI 1265677421 — is the standard way to identify this listing.

Does CMS list MR. THOMAS KELLY STEWART (L,C,S,W.) as active?

Yes — MR. THOMAS KELLY STEWART (L,C,S,W.) is active in the NPI listing used on this page.

What taxonomy line describes MR. THOMAS KELLY STEWART (L,C,S,W.)?

For research purposes, treat MR. THOMAS KELLY STEWART (L,C,S,W.) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.

Where should I expect MR. THOMAS KELLY STEWART (L,C,S,W.) on a map?

Expect Decatur, Illinois as a primary anchor for MR. THOMAS KELLY STEWART (L,C,S,W.) unless the record lists multiple sites.

Why does MR. THOMAS KELLY STEWART (L,C,S,W.) have multiple addresses?

2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.