Individual provider Active NPI

Sophie R Horner, LCSW

  • Clinical Social Worker
  • Springfield, IL
National Provider Identifier
1003212564
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149017010 Issued in IL
Practice address
1220 S 7TH St
Springfield, IL 62703-2421
Phone
(217) 679-5379
Fax
(217) 679-5349
NPI assigned
Nov 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149017010 IL Primary

Addresses

Primary practice location

1220 S 7TH St
Springfield, IL 62703-2421

Mailing address

1220 S 7TH St
Springfield, IL 62703-2421
Phone (217) 679-5379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150421001722 IL Practitioner - Clinical Social Worker 6305164443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bahn and Associates IncGroup PAC ID 2860630530, 6 clinicians

Practice addresses (Care Compare)

1220 S 7TH St
Springfield, IL 62703-2421
Phone (217) 679-5379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149017010ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bahn and Associates Inc CurrentSince Apr 2, 2021 Accepting new patients

Locations

1220 S 7th St
Springfield, IL 62703
Phone (217) 679-5379

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1003212564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 S 7TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032421",
            "telephone_number": "217-679-5379",
            "fax_number": "217-679-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 S 7TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032421",
            "telephone_number": "217-679-5379",
            "fax_number": "217-679-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "SOPHIE",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.