Active NPI
Hannah Lanette Becker, LICENSED CLINICAL SO
- Clinical Social Worker
- Decatur, IL
National Provider Identifier
1255860664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149018028
- Practice address
- Department of Veterans Affairs
792 N Sunnyside Rd
Decatur, IL 62522 - Phone
- (217) 362-5442
- NPI assigned
- Jun 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1600692 | OH | |
| Clinical Social Worker | 1041C0700X | 149018028 | IL | Primary |
Addresses
Primary practice location
Department of Veterans Affairs
792 N Sunnyside Rd
Decatur, IL 62522
Mailing address
792 N Sunnyside Rd
Decatur, IL 62522
Phone (217) 362-5442
Other practice location 1
4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Phone (937) 257-1191
Other names 1
- Hannah Lanette Mueller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149018028 | IL | MD | Clinical Social Worker |
| 1600692 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1255860664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "792 N SUNNYSIDE RD",
"city": "DECATUR",
"state": "IL",
"postal_code": "62522",
"telephone_number": "217-362-5442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPARTMENT OF VETERANS AFFAIRS",
"address_2": "792 N SUNNYSIDE RD",
"city": "DECATUR",
"state": "IL",
"postal_code": "62522",
"telephone_number": "217-362-5442"
}
],
"practiceLocations": [
{
"address_1": "4881 Sugar Maple Dr",
"address_purpose": "LOCATION",
"city": "Wright Patterson AFB",
"state": "OH",
"postal_code": "454335529",
"country_code": "US",
"telephone_number": "937-257-1191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECKER",
"first_name": "HANNAH",
"middle_name": "LANETTE",
"name_prefix": "Mrs.",
"credential": "LICENSED CLINICAL SO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2023-11-17",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "1600692",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149018028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "MUELLER",
"middle_name": "LANETTE",
"credential": "LICENSED CLINICAL SO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.