MRS. STACIE ANNE KITTLER (LCSW) – Clinical Social Worker, NPI 1508757154

MRS. STACIE ANNE KITTLER (LCSW) is a healthcare provider. based in Frankfort, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149.008211 (IL). The NPI Number for MRS. STACIE ANNE KITTLER (LCSW) is 1508757154

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STACIE ANNE KITTLER (LCSW)
NPI
1508757154
Phone
(815) 806-7560
Address
10221 W LINCOLN HWY
Enumeration Date
11 July 2025
Last Update Date
11 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082691516
Graduation Year
1994 (32 years ago)
PAC ID
2264921428
Group Practice PAC ID
3971997735
Professional Enrollment ID
I20251028003136
Address ID
IL604231279FR10217HWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for MRS. STACIE ANNE KITTLER (LCSW)

  • 10221 W LINCOLN HWY

    FRANKFORT, IL 604231279

    Phone: (815) 806-7560

    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: 2025-10-28

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
I20251028003136IClinical 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 60423)

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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: 3971997735View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

How do payers reference MRS. STACIE ANNE KITTLER (LCSW)?
For MRS. STACIE ANNE KITTLER (LCSW), use NPI 1508757154 as the unique 10-digit identifier.
Would MRS. STACIE ANNE KITTLER (LCSW) appear as active to a payer?
You can treat MRS. STACIE ANNE KITTLER (LCSW) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MRS. STACIE ANNE KITTLER (LCSW)?
MRS. STACIE ANNE KITTLER (LCSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. STACIE ANNE KITTLER (LCSW)?
Travel planning: use Frankfort, Illinois as the reference point for MRS. STACIE ANNE KITTLER (LCSW), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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