Individual provider Active NPI

Mark H Staff, LCSW

  • Clinical Social Worker
  • Springfield, IL
National Provider Identifier
1225861941
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149006306 Issued in IL
Practice address
3225 Hedley Rd
Springfield, IL 62711-6248
Phone
(217) 726-7300
Fax
(217) 726-5989
NPI assigned
Aug 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149006306 IL Primary

Addresses

Primary practice location

3225 Hedley Rd
Springfield, IL 62711-6248

Mailing address

3225 Hedley Rd
Springfield, IL 62711-6248
Phone (217) 726-7300

Other practice location 1

101 E Plummer Blvd
Chatham, IL 62629-8047
Phone (217) 483-3487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903003492 IL Practitioner - Clinical Social Worker 1254870314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Physician ServicesGroup PAC ID 9032005681, 161 clinicians

Practice addresses (Care Compare)

3225 Hedley Rd
Springfield, IL 62711-6248
Phone (217) 726-7300

901 N 1St St
Suite 225
Springfield, IL 62702-3760
Phone (217) 788-4065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149006306ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Centers of Central Illinois Clinical CurrentSince Aug 21, 2024 Accepting new patients
Memorial Physician Services CurrentSince Sep 29, 2025 Accepting new patients
Memorial Physician Services CurrentSince Sep 29, 2025 Accepting new patients
Mental Health Centers of Central Illinois CurrentSince Aug 21, 2024 Accepting new patients
Springfield Clinic LLP Current Accepting new patients
Family Medical Center of Chatham, LLC Current Accepting new patients
Memorial Physician Services Current Accepting new patients

Locations

101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487

3225 Hedley Rd
Springfield, IL 62711
Phone (217) 726-6700

901 N 1st St
Ste 225
Springfield, IL 62702
Phone (217) 523-2217

Interoperability endpoints

  • Direct secure messaging: markstaff@sfc.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1225861941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 HEDLEY RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116248",
            "telephone_number": "217-726-7300",
            "fax_number": "217-726-5989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 HEDLEY RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116248",
            "telephone_number": "217-726-7300",
            "fax_number": "217-726-5989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Plummer Blvd",
            "address_purpose": "LOCATION",
            "city": "Chatham",
            "state": "IL",
            "postal_code": "626298047",
            "country_code": "US",
            "telephone_number": "217-483-3487",
            "fax_number": "217-483-8150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAFF",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-20",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149006306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.