PATRICIA STRADER (LCSW) – Clinical Social Worker, NPI 1306488127

PATRICIA STRADER (LCSW) is a healthcare provider. based in Carbondale, Illinois. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 149021618 (IL). The NPI Number for PATRICIA STRADER (LCSW) is 1306488127

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA STRADER (LCSW)
NPI
1306488127
Phone
(618) 549-0721
Address
405 WEST JACKSON
Enumeration Date
14 October 2019
Last Update Date
5 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185490721
Graduation Year
2015 (11 years ago)
PAC ID
9133451263
Group Practice PAC ID
3678677390
Professional Enrollment ID
I20191023000470

Contacts

Secure Messaging
pmiller36231@sih.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

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Provider Addresses for PATRICIA STRADER (LCSW)

  • Carbondale, Jackson County, Illinois, United States

    CARBONDALE, IL 62901

    Phone: (618) 549-0721

    Fax: (618) 457-0469

    Type: Location

  • 405 West Jackson

    Carbondale, IL 62901

    Phone: (618) 549-0721

    Fax: (618) 457-0469

    Type: Location

  • 201 South 14th Street

    Herrin, IL 62948

    Phone: (618) 942-2171

    Fax: (618) 351-4917

    Type: Location

  • 2 South Hospital Drive

    Murphysboro, IL 62966

    Phone: (618) 684-3156

    Fax: (618) 529-0524

    Type: Location

  • PO BOX 3988

    CARBONDALE, IL 629023988

    Phone: (618) 457-5200

    Type: Mailing

  • 9768 N COUNTY ROAD 2650 E

    EASTON, IL 626339793

    Phone: (708) 768-7020

    Fax: (708) 768-7020

    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: 2019-10-23

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
I20191023000470IClinical 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 62901)

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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: 3678677390View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YIL
Cardiovascular Disease (Cardiology)IL
-IL
Emergency MedicineIL
Nurse PractitionerMO
Nurse PractitionerIL
Emergency MedicineIL
-IL
N E U R O L O G YIL
U R O L O G YIL

Reviews

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Frequently asked questions

What is the registry number for PATRICIA STRADER (LCSW)?
The registry entry for PATRICIA STRADER (LCSW) shows NPI 1306488127.
Should I treat PATRICIA STRADER (LCSW) as an active provider?
Patients and plans typically see PATRICIA STRADER (LCSW) as active in the national extract.
How should patients interpret PATRICIA STRADER (LCSW)'s specialty?
The extract shows Clinical Social Worker for PATRICIA STRADER (LCSW). Clinical services aligned with this taxonomy classification.
Is PATRICIA STRADER (LCSW) tied to Carbondale, Illinois?
If you are local to Carbondale, Illinois, PATRICIA STRADER (LCSW) may be relevant to your search.
Who maintains PATRICIA STRADER (LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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