KERRIE JEWELL (L.C.S.W., C.A.D.C.) – Clinical Social Worker, NPI 1417357054

Clinical Social Worker

KERRIE JEWELL (L.C.S.W., C.A.D.C.) is a healthcare provider. based in Effingham, Illinois. specializing in Clinical Social Worker. They hold the professional credentials L.C.S.W., C.A.D.C.. They hold a License No. 32084 (IL). The NPI Number for KERRIE JEWELL (L.C.S.W., C.A.D.C.) is 1417357054

Main info

Female

Sole Proprietor

8 Years Of Experience

Accepts Medicare Assignment

Name

KERRIE JEWELL (L.C.S.W., C.A.D.C.)

NPI

1417357054

Phone

(217) 240-1853

Address

8350 E 1450TH AVE

Enumeration Date

2 September 2014

Last Update Date

29 July 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2175087953

Graduation Year

2018 (8 years ago)

PAC ID

8729403605

Group Practice PAC ID

7113259631

Professional Enrollment ID

I20200810001732

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience55

Completeness75

Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for KERRIE JEWELL (L.C.S.W., C.A.D.C.)

8350 E 1450TH AVE
EFFINGHAM, IL 624017746
Phone: (217) 240-1853
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: 2020-08-10

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
I20200810001732	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	637	57	$0
90791	Psychiatric diagnostic evaluation	41	38	$0

View full utilization report →

Insurance plans in this area (ZIP 62401)

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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: 7113259631View full group profile

Name	Specialty	State
PAMELA RAE MILLER (LCPC, NCC)	Mental Health Counselor	IL
LISA M RANKIN (LCPC, LSOTP, LSOE)	Mental Health Counselor	IL
SARAH L MALAK (LCSW)	-	IL

Reviews

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Frequently asked questions

What NPI should I save for KERRIE JEWELL (L.C.S.W., C.A.D.C.)?

Save NPI 1417357054 if you need a stable reference for KERRIE JEWELL (L.C.S.W., C.A.D.C.).

Is KERRIE JEWELL (L.C.S.W., C.A.D.C.)'s enrollment marked active?

An active flag here means the NPI record is not in a deactivated state.

Can you summarize KERRIE JEWELL (L.C.S.W., C.A.D.C.)'s specialty in plain language?

Clinically, the directory lists KERRIE JEWELL (L.C.S.W., C.A.D.C.) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.

Does KERRIE JEWELL (L.C.S.W., C.A.D.C.) practice in Illinois?

You will see Effingham, Illinois on file for KERRIE JEWELL (L.C.S.W., C.A.D.C.) alongside any extra practice locations.

Is KERRIE JEWELL (L.C.S.W., C.A.D.C.) a real provider?

This page reflects official NPPES data for NPI 1417357054. Always confirm identity and privileges with the practice and licensing boards.