MEDICARE: MERSADI KITE LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	150.129353	IL

General Provider Information

NPI Number	:	1700726015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERSADI KITE LSW

Provider Business Mailing Address
First Line	:	902 W MAIN ST
Second Line	:
City	:	WEST FRANKFORT
State	:	IL
Zip	:	62896-2210
Country	:	US
Telephone Number	:	618-326-2772
Fax Number	:	618-937-1440

Provider Business Practice Location Address
First Line	:	639 YORK ST
Second Line	:
City	:	QUINCY
State	:	IL
Zip	:	62301-3963
Country	:	US
Telephone Number	:	217-222-6277
Fax Number	:	618-224-1155

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	06/10/2026

Similar Medicare Providers

1295068898 — ADDUS HEALTHCARE, INC.
Practice Location Address:

639 YORK ST STE 101&208
QUINCY, IL
62301-3963

Practice Phone: 217-224-8372
Practice Fax: 855-844-2475

1467731620 — MONTY P KAROLL, MD PC
Practice Location Address:

639 YORK ST
QUINCY, IL
62301-3963

Practice Phone: 217-224-5031
Practice Fax:

1972925402 — COMMUNITY CARE SYSTEMS ADULT DAY SERVICES, INC.
Practice Location Address:

639 YORK ST , SUITE 110
QUINCY, IL
62301-3963

Practice Phone: 217-592-3757
Practice Fax: 217-223-6958

1831501022 — COMMUNITY CARE SYSTEMS, INC.
Practice Location Address:

639 YORK ST , 112
QUINCY, IL
62301-3963

Practice Phone: 217-223-6951
Practice Fax: 217-223-6958

1598436271 — DEANNA SUBLETTE
Practice Location Address:

639 YORK ST
QUINCY, IL
62301-3963

Practice Phone: 217-222-6277
Practice Fax: 217-214-5450

1700747680 — CENTERSTONE OF ILLINOIS, INC
Practice Location Address:

639 YORK ST
QUINCY, IL
62301-3963

Practice Phone: 855-608-3560
Practice Fax:

Directions to “ MERSADI KITE LSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.