Becky Jane Hart, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.015616 Issued in IL

Practice address

225 1/2 W Main St.
Havana, IL 62644

Phone

(309) 255-2475

NPI assigned

Jan 3, 2019

Sex

Female

Sole proprietor

No

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, IL

  Medicare reassignment NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: beckyhoelscher@tdh.allscriptsdirect.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 19, 2022.

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1225501182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1588 E BRYAN RD",
            "city": "MARIETTA",
            "state": "IL",
            "postal_code": "614599343",
            "telephone_number": "309-255-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 1/2 W MAIN ST.",
            "city": "HAVANA",
            "state": "IL",
            "postal_code": "62644",
            "telephone_number": "309-255-2475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1588 E Bryan Rd",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "IL",
            "postal_code": "614599343",
            "country_code": "US",
            "telephone_number": "309-255-2475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 N Promenade St",
            "address_purpose": "LOCATION",
            "city": "Havana",
            "state": "IL",
            "postal_code": "626441243",
            "country_code": "US",
            "telephone_number": "309-543-6600",
            "fax_number": "309-543-2089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "BECKY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.015616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faythe Reyhan Flinn, LCSW
• Foot and Ankle Associates of Central Illinois LLC
• Yvonne Lynn Fornoff, BSN, RN, CCM
• Marcie L. Ganson, PT, DPT, MBA
• Randall Joe Goodman II, DPT
• Havana Cusd 126
• Havana Hco, LLC
• Havana Hco, LLC
• Alycia Helling, M.S., CCC-SLP
• Stuart Hickerson

• All providers in Havana, IL
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.