MANDY LEE EISENBERG (LCSW) – Social Worker, NPI 1659931491

MANDY LEE EISENBERG (LCSW) is a healthcare provider. based in Hannibal, Missouri. specializing in Social Worker. They hold the professional credentials LCSW. They hold a License No. 149023706 (IL). The NPI Number for MANDY LEE EISENBERG (LCSW) is 1659931491

Main info

Female
Sole Proprietor
Name
MANDY LEE EISENBERG (LCSW)
NPI
1659931491
Phone
(573) 603-1460
Address
141 COMMUNICATION DR
Enumeration Date
14 June 2019
Last Update Date
26 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Digital endpointsOther names

Provider Addresses for MANDY LEE EISENBERG (LCSW)

  • 141 COMMUNICATION DR

    HANNIBAL, MO 634013670

    Phone: (573) 603-1460

    Fax: (573) 603-1462

    Type: Location

  • 639 YORK ST RM 212

    QUINCY, IL 623013919

    Phone: (217) 222-6227

    Type: Location

  • North 2nd Street, St. Charles, Kane County, Illinois, 60174, United States

    SAINT CHARLES, MO 633012894

    Phone: (636) 224-1210

    Fax: (636) 946-0991

    Type: Mailing

  • 1601 OLD SOUTH RIVER RD

    SAINT CHARLES, MO 633034120

    Phone: (636) 224-1210

    Fax: (636) 246-1008

    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: 2023-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20210823001235IClinical Social WorkerMOTBD
I20211025000332IClinical Social WorkerILTBD
I20231106003256IClinical Social WorkerMATBD

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

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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 63401)

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Reviews

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Frequently asked questions

Is MANDY LEE EISENBERG (LCSW) listed with a National Provider Identifier?
Yes — MANDY LEE EISENBERG (LCSW) has NPI 1659931491 on file in the registry.
Is MANDY LEE EISENBERG (LCSW) shown as active in public data?
Registry records indicate MANDY LEE EISENBERG (LCSW) maintains an active NPI.
What area of care is associated with MANDY LEE EISENBERG (LCSW)?
MANDY LEE EISENBERG (LCSW)'s record emphasizes Social Worker. Clinical services aligned with this taxonomy classification.
Where in Missouri is MANDY LEE EISENBERG (LCSW) registered?
Use Hannibal, Missouri as the headline location for MANDY LEE EISENBERG (LCSW) here.
When was this NPI issued?
Enumeration for MANDY LEE EISENBERG (LCSW) is noted as June 14, 2019 where the registry provides it.