Rebecca Ann Fletcher, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012793 Issued in IL

Practice address

201 E Morgan St
Jacksonville, IL 62650-2587

Phone

(217) 245-1655

Fax

(217) 245-4742

NPI assigned

Sep 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Rebecca Ann Ward Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1619582525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 PROSPECT ST",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626502348",
            "telephone_number": "217-491-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E MORGAN ST",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626502587",
            "telephone_number": "217-245-1655",
            "fax_number": "217-245-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, CADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "JACKSONVILLE",
            "affiliation": "Y",
            "affiliationName": "Park Place Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "201 E Morgan St",
            "city": "Jacksonville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "626502587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "WARD",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "LCSW, CADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Agnes A. Fenner
• Michael Niel Fenner, MD
• Lisa Marie Fernandes, LPN
• Tracy Leann Flanagan
• Jeffrey W Fleischli, DPM
• Jennifer G Flinn, FNP
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• Four Rivers Special Education
• Anita Marie Fox

• Clinical Social Worker in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.