Active NPI
Tasha Howard, LCSW
- Clinical Social Worker
- Champaign, IL
National Provider Identifier
1639735145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149021167
- Practice address
- 2125 S Neil St
Champaign, IL 61820-7266 - Phone
- (217) 352-0200
- Fax
- (217) 607-1139
- NPI assigned
- May 10, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149021167 | IL | Primary |
Addresses
Primary practice location
2125 S Neil St
Champaign, IL 61820-7266
Mailing address
2125 S Neil St
Champaign, IL 61820-7266
Phone (217) 352-0200
Other practice location 1
516 Eden Park Dr
Rantoul, IL 61866-1508
Phone (217) 402-5198
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14467810 | Other | CAQH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149021167 | IL | MD | Clinical Social Worker |
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.
-
- Mental Health Counselor
- Champaign, IL
- NPI 1174751663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1639735145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 S NEIL ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207266",
"telephone_number": "217-352-0200",
"fax_number": "217-607-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 S NEIL ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618207266",
"telephone_number": "217-352-0200",
"fax_number": "217-607-1139"
}
],
"practiceLocations": [
{
"address_1": "516 Eden Park Dr",
"address_purpose": "LOCATION",
"city": "Rantoul",
"state": "IL",
"postal_code": "618661508",
"country_code": "US",
"telephone_number": "217-402-5198",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOWARD",
"first_name": "TASHA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-10",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149021167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14467810",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.