JANE ELIZABETH STILWELL-ROACH (LCSW) – Clinical Social Worker, NPI 1407342777
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,510 CLINICAL SOCIAL WORKER in IL
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Provider Addresses for JANE ELIZABETH STILWELL-ROACH (LCSW)
448, Wylie Drive, Normal, McLean County, Illinois, 61761, United States
NORMAL, IL 617615405
Phone: (888) 924-3786
Type: Location
McKelvey Road, Bridgeton, Saint Louis County, Missouri, 63044, United States
BRIDGETON, MO 630442550
Phone: (314) 206-3900
Type: Mailing
102 Compass Point Dr
Saint Charles, MO 633014404
Phone: (888) 403-1071
Type: Location
3165 McKelvey Rd Ste 200
Bridgeton, MO 630442550
Phone: (314) 206-3900
Type: Location
3785 New Town Blvd
Saint Charles, MO 633014358
Phone: (844) 853-8937
Type: Location
151 N Main St
Decatur, IL 625231206
Phone: (217) 362-6262
Type: Location
1800 COMMUNITY
CLINTON, MO 647358804
Phone: (660) 885-8131
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: 2020-11-20
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200327000176 | I | Clinical Social Worker | IL | TBD |
| I20201120002125 | I | Clinical Social Worker | MO | 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.
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 61761)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Mental Health Counselor | IL | |
| - | IL | |
| P S Y C H I A T R Y | IL |
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