Active NPI
Linda K Thornberry, LCSW
- Clinical Social Worker
- Petersburg, IL
National Provider Identifier
1639426166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149008613
- Practice address
- 1 Centre Dr
Petersburg, IL 62675-9467 - Phone
- (217) 632-7761
- Fax
- (217) 632-0312
- NPI assigned
- Aug 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149008613 | IL | Primary |
Addresses
Primary practice location
1 Centre Dr
Petersburg, IL 62675-9467
Mailing address
PO Box 4566
Springfield, IL 62708-4566
Phone (800) 577-5368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 149008613 | Other | IL | STATE LICENSE |
Other names 1
- Linda K Becker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149008613 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Clinic LLP | Current | Accepting new patients |
Interoperability endpoints
- lindathornberry@sfc.allscriptsdirect.net
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1215974415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1639426166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4566",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627084566",
"telephone_number": "800-577-5368",
"fax_number": "217-757-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CENTRE DR",
"city": "PETERSBURG",
"state": "IL",
"postal_code": "626759467",
"telephone_number": "217-632-7761",
"fax_number": "217-632-0312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNBERRY",
"first_name": "LINDA",
"middle_name": "K",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149008613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "149008613",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "BECKER",
"middle_name": "K",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Petersburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.