Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

David L Cole, LCSW, LPHA

Individual provider Clinical Social Worker · NPI 1164660775

David L Cole, LCSW, LPHA is a Clinical Social Worker in Sullivan, Illinois. Qualified in 1983, 43 years ago. Practices with Moultrie County Mental Health Center, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
43
Licensed in
IL
In the registry since
2009
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

12 W Harrison St
Sullivan, IL 61951-1907
Phone: (217) 728-4358
Fax: (217) 728-2270
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.011051 (IL)

Record details

NPI number1164660775
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LPHA
Sole proprietorNo
NPI enumeratedFebruary 4, 2009
Last updated in NPPESFebruary 4, 2009
Mailing addressPo Box 163, 12 W. Harrison, Sullivan, IL 61951-0163

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Moultrie County Mental Health Center — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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