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

Stacy Stokes Melton, LCSW

Individual provider Social Worker · NPI 1760410211

Stacy Stokes Melton, LCSW is a Clinical Social Worker in Quincy, Illinois. Qualified in 1993, 33 years ago. Practices with Board of Trustees of Southern Illinois University, a 142-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
33
Licensed in
IL, MO
In the registry since
2006
Specialties on file
3
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

612 N 11th St Ste B
Quincy, IL 62301-2662
Phone: (217) 224-9484
Fax: (217) 224-7894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149-006584 (IL)
Social Worker Taxonomy 104100000X · Licence 149006584 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2006034644 (MO)

Record details

NPI number1760410211
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJune 30, 2006
Last updated in NPPESMay 19, 2016

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Board Of Trustees Of Southern Illinois University — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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