MS. LISA ANN COLEMAN (MSW,PLCSW) – Clinical Social Worker, NPI 1467582312
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,245 CLINICAL SOCIAL WORKER in MO
Provider Addresses for MS. LISA ANN COLEMAN (MSW,PLCSW)
PO BOX 157
110 SOUTH 2ND STREET
ELLINGTON, MO 636387427
Phone: (573) 323-0423
Fax: (573) 323-8931
Type: Mailing
225 PHYSICIANS PARKWAY
SUITE 303
POPLAR BLUFF, MO 639013930
Phone: (573) 785-6536
Fax: (573) 785-0345
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: 2025-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20100706000017 | I | Clinical Social Worker | MO | TBD |
| I20250415000133 | I | Clinical Social Worker | TX | TBD |
| I20250415000225 | I | Clinical Social Worker | MN | TBD |
| I20250505002365 | I | Clinical Social Worker | MI | 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 63638)
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