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

Mr. Stephen Randall Dwyer

Individual provider Clinical Social Worker · NPI 1487470886

Mr. Stephen Randall Dwyer is a Clinical Social Worker in Chatham, Illinois. Qualified in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2024

Practice location Address checks out

70 Axline Rd
Chatham, IL 62629-1574
Phone: (217) 638-8655
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 149.028280 (IL)

Record details

NPI number1487470886
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 2, 2024
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025
Mailing address70 Axline Rd, Chatham, IL 62629-1574

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Chatham