MARK H STAFF LCSW
NPI 1225861941
Social Worker - Clinical in Springfield, IL

Active since August 20, 2024PECOS EnrolledAccepts Medicare Assignment
3225 HEDLEY RD, SPRINGFIELD, IL 62711(217) 726-7300(217) 726-5989 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark H Staff Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK H STAFF LCSW (NPI 1225861941) is an individual clinical provider in Springfield, Illinois, licensed in Illinois (149006306) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chatham, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1225861941
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMARK H STAFFCredential: LCSW
Location Address3225 HEDLEY RDSpringfield, IL 62711-6248
Mailing Address3225 Hedley RdSpringfield, IL 62711-6248 · (217) 726-7300 · Fax (217) 726-5989
Fax(217) 726-5989
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 20, 2024
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1225861941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149006306
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3225 HEDLEY RD, Springfield, IL 62711

Secondary Practice Location 1

Location 1101 E Plummer BlvdChatham, IL 62629-8047 · Phone (217) 483-3487 · Fax (217) 483-8150

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark H Staff Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254870314
PECOS Enrollment IDI20240903003492
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Staff reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3132 OLD JACKSONVILLE RD
Springfield, IL 62704
  • Reassigned Medicare billing, Illinois enrollment
  • 150 clinicians in this Medicare group
Clinical
901 N 1ST ST, SUITE 225
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 23 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Nurse Practitioner (Psychiatric/Mental Health)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Psychiatry & Neurology (Psychiatry)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Social Worker (Clinical)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Counselor (Professional)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Psychiatry & Neurology (Psychiatry)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Nurse Practitioner (Psychiatric/Mental Health)
3225 HEDLEY RD
SPRINGFIELD, IL 62711
Nurse Practitioner (Psychiatric/Mental Health)
3225 HEDLEY RD
SPRINGFIELD, IL 62711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Staff's NPI number?

The NPI number for Mark Staff is 1225861941. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Where is Mark Staff located?

Mark Staff practices at 3225 Hedley Rd, Springfield, IL 62711. The listed phone number is (217) 726-7300.

What is Mark Staff's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mark Staff enrolled in Medicare?

Yes. Mark Staff is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mark Staff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Staff reassigns Medicare benefits to 2 organizations: Memorial Physician Services (Springfield, IL) and Mental Health Centers Of Central Illinois (Springfield, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Staff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Staff was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.