MS. DABNEY PARKER STACK (LCSW) – Clinical Social Worker, NPI 1518903004
Clinical Social Worker
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,510 CLINICAL SOCIAL WORKER in IL
Provider Addresses for MS. DABNEY PARKER STACK (LCSW)
405 W Jackson St
Carbondale, IL 629011462
Phone: (618) 549-0721
Fax: (618) 457-0469
Type: Location
2 S Hospital Dr
Murphysboro, IL 629663333
Phone: (618) 684-3156
Fax: (618) 529-0524
Type: Location
3106 Outer Dr
Marion, IL 629595270
Phone: (618) 997-4332
Fax: (618) 351-4807
Type: Location
Carbondale Post Office, Main Street, Carbondale, Osage County, Kansas, 66414, United States
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
Herrin Hospital, 201, South 14th Street, Herrin, Williamson County, Illinois, 62948, United States
HERRIN, IL 629483631
Phone: (618) 942-2171
Fax: (618) 351-4917
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: 2018-02-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180201003169 | 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.
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
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | IL | |
| - | IL | |
| Physician Assistant | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| P S Y C H I A T R Y | IL | |
| - | IA |
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