Rebecca Beucher

Individual provider Active NPI Clinical Social Worker · Normal, IL

NPI 1184503997 · NPPES record last updated Aug 27, 2025

Key facts

NPI
1184503997
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
150.117776 (IL)
Practice address
405 Kays Dr Ste C
Normal, IL 61761-1979
Phone
(309) 807-5077
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
150.117776ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 150.117776 IL Yes

Addresses

Primary practice location

405 Kays Dr Ste C
Normal, IL 61761-1979

Mailing address

1914 E Jackson St
Bloomington, IL 61701-5739
Phone (847) 946-7460

Other providers in Normal, IL

All providers in Normal, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.