Individual provider Active NPI

Faythe Reyhan Flinn, LCSW

  • Clinical Social Worker
  • Havana, IL
National Provider Identifier
1205644010
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149030342 Issued in IL
Practice address
11859 N CR 1650E
Havana, IL 62644-6890
Phone
(217) 308-2440
NPI assigned
Dec 26, 2024
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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 149030342 IL Primary

Addresses

Primary practice location

11859 N CR 1650E
Havana, IL 62644-6890

Mailing address

11859 N CR 1650E
Havana, IL 62644-6890
Phone (217) 308-2440

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
I20251106000359 IL Practitioner - Clinical Social Worker 7911497169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thriving Sparrow Counseling and Wellness, PLLCGroup PAC ID 1153708755, 5 clinicians

Practice addresses (Care Compare)

1801 Woodfield Dr
Suite 102
Savoy, IL 61874-9505
Phone (815) 200-8520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149030342ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thriving Sparrow Counseling & Wellness, PLLC Clinical CurrentSince Oct 14, 2025 Accepting new patients
Willow Brook Counseling and Wellness, PLLC Clinical CurrentSince Nov 9, 2025 Accepting new patients
Thriving Sparrow Counseling & Wellness, PLLC CurrentSince Oct 14, 2025 Accepting new patients

Locations

5320 W Elm St
McHenry, IL 60050
Phone (815) 200-8520

1801 Woodfield Dr
Ste 102
Savoy, IL 61874
Phone (815) 200-8520

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1205644010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11859 N CR 1650E",
            "city": "HAVANA",
            "state": "IL",
            "postal_code": "626446890",
            "telephone_number": "217-308-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11859 N CR 1650E",
            "city": "HAVANA",
            "state": "IL",
            "postal_code": "626446890",
            "telephone_number": "217-308-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINN",
        "first_name": "FAYTHE",
        "middle_name": "REYHAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-26",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149030342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havana, IL

Sources for this page

Verify at the official NPI Registry.