MRS. MICHELLE LYNN LOCKE (LCSW) – Clinical Social Worker, NPI 1881350049

MRS. MICHELLE LYNN LOCKE (LCSW) is a healthcare provider. based in Canton, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149.018164 (IL). The NPI Number for MRS. MICHELLE LYNN LOCKE (LCSW) is 1881350049

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MICHELLE LYNN LOCKE (LCSW)
NPI
1881350049
Phone
(309) 645-3078
Address
26794 E MONTEREY RD
Enumeration Date
11 November 2021
Last Update Date
11 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096470201
Graduation Year
2009 (17 years ago)
PAC ID
3173996220
Group Practice PAC ID
2769375021
Professional Enrollment ID
I20230310001246
Address ID
IL615202608CA180XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for MRS. MICHELLE LYNN LOCKE (LCSW)

  • 26794 E MONTEREY RD

    CANTON, IL 615208619

    Phone: (309) 645-3078

    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: 2023-03-10

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

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
I20230310001246IClinical 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 61520)

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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: 2769375021View full group profile
NameSpecialtyState
-IL
Emergency MedicineIL
Nurse PractitionerIL
Vascular Surgery, General SurgeryIL
Nurse PractitionerIL
Nurse PractitionerIL
Vascular SurgeryIL
Family PracticeIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is MRS. MICHELLE LYNN LOCKE (LCSW)'s NPI number?
MRS. MICHELLE LYNN LOCKE (LCSW)'s NPI is 1881350049 — the number used across U.S. healthcare to identify this provider.
Would MRS. MICHELLE LYNN LOCKE (LCSW) appear as active to a payer?
You can treat MRS. MICHELLE LYNN LOCKE (LCSW) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MRS. MICHELLE LYNN LOCKE (LCSW)?
MRS. MICHELLE LYNN LOCKE (LCSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. MICHELLE LYNN LOCKE (LCSW)?
Travel planning: use Canton, Illinois as the reference point for MRS. MICHELLE LYNN LOCKE (LCSW), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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