THOMAS YOUNGBERG MSW, LCSW, LPHA
NPI 1922473479
Social Worker - Clinical in Decatur, IL

Active since December 09, 2015PECOS EnrolledAccepts Medicare Assignment
102 W KENWOOD AVE STE 100, DECATUR, IL 62526(217) 872-3800(217) 872-0849 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2022, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2015).

About Thomas Youngberg Msw, Lcsw, Lpha NPPES

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

THOMAS YOUNGBERG MSW, LCSW, LPHA (NPI 1922473479) is an individual clinical provider in Decatur, Illinois, licensed in Illinois (149.018052) and active in the NPI registry since December 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1922473479
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTHOMAS YOUNGBERGCredential: MSW, LCSW, LPHA
Location Address102 W KENWOOD AVE STE 100Decatur, IL 62526-4379
Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-8000
Fax(217) 872-0849
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 9, 2015
Last NPPES UpdateSeptember 8, 20225 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
✔ NPI 1922473479 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 · 149.018052
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.
102 W KENWOOD AVE STE 100, Decatur, IL 62526

Secondary Practice Locations 2

Location 11901 18th StCharleston, IL 61920-3612 · Phone (217) 508-0003 · Fax (217) 348-3909
Location 21810 W South 3rd StShelbyville, IL 62565-9595 · Phone (217) 774-2113 · Fax (217) 774-2256

Accepted Insurance

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

Thomas Youngberg Msw, Lcsw, Lpha 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 ID4284938895
PECOS Enrollment IDI20160202001034
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

3

Medicare enrollment records show Thomas Youngberg reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Care
520 N 4TH ST
Springfield, IL 62702
  • Reassigned Medicare billing, Illinois enrollment
  • 262 clinicians in this Medicare group
Nurse Practitioner
3000 N HALSTED ST STE 803
Chicago, IL 60657
  • Reassigned Medicare billing, Illinois enrollment
  • 129 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Illinois enrollment
  • 107 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 62526 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.

Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526

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 Thomas Youngberg's NPI number?

The NPI number for Thomas Youngberg is 1922473479. It was assigned to this individual provider in the NPPES registry on December 9, 2015.

Where is Thomas Youngberg located?

Thomas Youngberg practices at 102 W Kenwood Ave Ste 100, Decatur, IL 62526. The listed phone number is (217) 872-3800.

What is Thomas Youngberg's specialty?

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

Is Thomas Youngberg enrolled in Medicare?

Yes. Thomas Youngberg 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 Thomas Youngberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Youngberg reassigns Medicare benefits to 3 organizations: Board Of Trustees Of Southern Illinois University (Springfield, IL), Midwest Post Acute Care PLLC (Chicago, IL) and Mental Health Specialty Group PA (Durham, NC). 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 Thomas Youngberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Youngberg accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Thomas Youngberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thomas Youngberg was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.