JEFFRY T TILL (LCSW) – Social Worker, NPI 1598743122
Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,245 CLINICAL SOCIAL WORKER in MO
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Provider Addresses for JEFFRY T TILL (LCSW)
Poplar, Pine Bluff, Jefferson County, Arkansas, 71601, United States
POPLAR BLUFF, MO 63902
Phone: (573) 686-2411
Fax: (573) 686-8452
Type: Mailing
Lester Street, Poplar Bluff, Butler County, Missouri, 63901, United States
POPLAR BLUFF, MO 639015025
Phone: (573) 686-2411
Fax: (573) 778-7271
Type: Location
225 PHYSICIANS PARK STE 400
POPLAR BLUFF, MO 639013923
Phone: (573) 772-7722
Fax: (573) 778-7282
Type: Location
110 S 2ND ST
ELLINGTON, MO 636389400
Phone: (573) 663-2313
Fax: (573) 663-2441
Type: Mailing
225 PHYSICIANS PARK STE 304
POPLAR BLUFF, MO 639013930
Phone: (573) 727-5500
Fax: (573) 399-2646
Type: Location
PO BOX 801143
KANSAS CITY, MO 641801143
Phone: (573) 331-5583
Fax: (573) 331-5079
Type: Mailing
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: 2016-02-04
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 |
|---|---|---|---|---|
| I20160204001908 | I | Clinical Social Worker | MO | 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 63902)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Clinical Social Worker | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Clinical Social Worker | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Clinical Social Worker | MO |
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