MISS ANTIONETTE DIANE FEFEE (LCSW) – Clinical Social Worker, NPI 1710484449

MISS ANTIONETTE DIANE FEFEE (LCSW) is a healthcare provider. based in Lansing, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149008472 (IL). The NPI Number for MISS ANTIONETTE DIANE FEFEE (LCSW) is 1710484449

Main info

Female
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
MISS ANTIONETTE DIANE FEFEE (LCSW)
NPI
1710484449
Phone
(312) 749-4360
Address
18004 OAKLEY AVE
Enumeration Date
10 April 2018
Last Update Date
16 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7087453040
Graduation Year
1986 (40 years ago)
PAC ID
5193079390
Group Practice PAC ID
0345381018
Professional Enrollment ID
I20181106002426
Address ID
IL604292186HA3330XSTXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

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Provider Addresses for MISS ANTIONETTE DIANE FEFEE (LCSW)

  • 18004, Oakley Avenue, Oakglen, Lansing, Thornton Township, Cook County, Illinois, 60438, United States

    LANSING, IL 604381891

    Phone: (312) 749-4360

    Fax: (708) 895-2830

    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: 2018-11-06

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
I20181106002426IClinical 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 60438)

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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: 0345381018View full group profile
NameSpecialtyState
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do payers reference MISS ANTIONETTE DIANE FEFEE (LCSW)?
For MISS ANTIONETTE DIANE FEFEE (LCSW), use NPI 1710484449 as the unique 10-digit identifier.
Active or inactive — what applies to MISS ANTIONETTE DIANE FEFEE (LCSW)?
You should see MISS ANTIONETTE DIANE FEFEE (LCSW) as active in CMS-hosted NPPES data.
What expertise is attributed to MISS ANTIONETTE DIANE FEFEE (LCSW)?
MISS ANTIONETTE DIANE FEFEE (LCSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with MISS ANTIONETTE DIANE FEFEE (LCSW)?
Directory geography for MISS ANTIONETTE DIANE FEFEE (LCSW) centers on Lansing, Illinois.
Can I trust this NPI listing for MISS ANTIONETTE DIANE FEFEE (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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