Active NPI
Byron Dale Hibbs, LSW
- Social Worker
- Champaign, IL
National Provider Identifier
1932937208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.117926
- Practice address
- 411 E Park St Ste 106
Champaign, IL 61820-3862 - Phone
- (217) 714-7042
- NPI assigned
- Jul 26, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Social Worker | 104100000X | 150.117926 | IL | Primary |
Addresses
Primary practice location
411 E Park St Ste 106
Champaign, IL 61820-3862
Mailing address
411 E Park St Ste 106
Champaign, IL 61820-3862
Phone (217) 714-7042
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 |
|---|---|---|---|
| 150.117926 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1932937208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 E PARK ST STE 106",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203862",
"telephone_number": "217-714-7042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E PARK ST STE 106",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203862",
"telephone_number": "217-714-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIBBS",
"first_name": "BYRON",
"middle_name": "DALE",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-26",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.117926",
"primary": true
}
],
"identifiers": [],
"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 Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.