Individual provider Active NPI

Stacia Gadson, LMSW

  • Clinical Social Worker
  • Decatur, IL
National Provider Identifier
1508446352
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149026897 Issued in IL
Practice address
151 N Main St
Decatur, IL 62523-1206
Phone
(217) 362-6262
NPI assigned
Apr 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 4748G AL
Clinical Social Worker 1041C0700X 149026897 IL Primary

Addresses

Primary practice location

151 N Main St
Decatur, IL 62523-1206

Mailing address

8212 Russell Dr
MC Calla, AL 35111-3023

Other practice location 1

8212 Russell Dr
Mc Calla, AL 35111-3023
Phone (217) 775-4565

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
I20251104000096 IL Practitioner - Clinical Social Worker 7618467275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

151 N Main St
Decatur, IL 62523-1206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4748GALMDSocial Worker
149026897ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Behavioral Health Center, Inc. CurrentSince Sep 1, 2025 Accepting new patients
Heritage Behavioral Health Center Inc. Current Accepting new patients
Heritage Behavioral Health Center CurrentSince Sep 1, 2025 Accepting new patients
Heritage Behavioral Health Center, Inc. Past Accepting new patients
Heritage Behavioral Health Center Past Accepting new patients
Heritage Behavioral Health Center Inc. Past Accepting new patients
Heritage Behavioral Health Center, Inc Past Accepting new patients
Heritage Behavioral Health Center Inc. Past Accepting new patients
Heritage Behavioral Health Center Past Accepting new patients
Heritage Behavioral Health Center Inc. Past Accepting new patients
Heritage Behavioral Health Center Past Accepting new patients
Heritage Behavioral Health Center, Inc Past Accepting new patients

Locations

140 Sunrise Ct
Clinton, IL 61727
Phone (217) 570-0900

151 N Main St
Decatur, IL 62523
Phone (217) 420-4776

243 W Cerro Gordo St
Decatur, IL 62522
Phone (217) 422-3940

788 E Clay St
Decatur, IL 62521

2965 N Main St
Decatur, IL 62526
Phone (217) 464-1250

Organizations & group practices 12

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": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1508446352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 RUSSELL DR",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351113023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N MAIN ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625231206",
            "telephone_number": "217-362-6262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8212 Russell Dr",
            "address_purpose": "LOCATION",
            "city": "Mc Calla",
            "state": "AL",
            "postal_code": "351113023",
            "country_code": "US",
            "telephone_number": "217-775-4565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GADSON",
        "first_name": "STACIA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "4748G",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149026897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.