REBECCA WOODARD (NPI# 1811511231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811511231 |
| Entity Type | Individual |
| Full Name | REBECCA WOODARD |
| Credential | LCSW |
| Practice Address |
404 W Green St Urbana IL 61801-3267 |
| Mailing Address |
3901 Sandstone Dr Champaign IL 61822-2043 |
| Practice Telephone | 2178416085 |
| Mailing Telephone | 2178416085 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149019065 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154836690 | Rebecca Lynn Woodard | Technician | 9872 Osprey Dr, Fort Worth, TX 76108-4339 | 2017-12-06 |
| 1306392980 | Rebecca Woodard | Counselor | 2701 17 Street, Rock Island, IL 61254 | 2016-09-01 |
| 1427401892 | Rebecca Woodard | Pharmacy Technician | 1506 Elizabeth Pike, Mineral Wells, WV 26150-8413 | 2016-07-20 |
| Street Address |
404 W GREEN ST |
| City | URBANA |
| State | IL |
| Zip Code | 61801-3267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063583367 | Robert Bruce Sinclair | Dentist | 404 W Green St, Urbana, IL 61801-3267 | 2006-11-10 |
| 1689223935 | Cynthia Degnan | Social Worker | 404 W Green St, Urbana, IL 61801-3267 | 2019-09-10 |
| 1033682745 | Jessica Erin Culp | Counselor | 404 W Green St, Urbana, IL 61801-3267 | 2019-01-04 |
| 1295185098 | Marybeth Hallett | Psychologist | 404 W Green St, Urbana, IL 61801-3267 | 2016-06-13 |
| 1922472927 | Mary Russell | Psychologist | 404 W Green St, Urbana, IL 61801-3267 | 2015-11-15 |
| 1740656016 | Mathy House Counseling Center | Social Worker | 404 W Green St, Urbana, IL 61801-3267 | 2015-08-20 |
| 1114262037 | Heather Pierce | Counselor | 404 W Green St, Urbana, IL 61801-3267 | 2012-12-04 |
| 1033359278 | Christopher Lawrence Menard | Psychologist | 404 W Green St, Urbana, IL 61801-3267 | 2009-02-28 |
| 1851556500 | John Michael Hoag | Social Worker | 404 W Green St, Urbana, IL 61801-3267 | 2008-07-22 |
| 1740407808 | Gregory Scott Lambeth | Psychologist | 404 W Green St, Urbana, IL 61801-3267 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566084 | Avani Sushilkumar Mohta | Internal Medicine | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2020-07-29 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1447877089 | Muhammad Khalid Abbas | Internal Medicine | 611 W Park St Urbana, Urbana, IL 61801 | 2020-06-30 |
| 1003430166 | Conlan Joseph Pierce | Surgery | 601 W Park St, Urbana, IL 61801 | 2020-06-04 |
| 1568090900 | Luke Andrew Fenlon | Student in an Organized Health Care Education/Training Program | Carle Forum Lower Level, Mc-474, 611 West Park Street, Urbana, IL 61801 | 2020-03-31 |
| 1912559691 | Ali Baltaji | Internal Medicine | 101 N Busey Apt 7, Urbana, IL 61801 | 2019-07-12 |
| 1821510918 | Pallavi Pradeep | Internal Medicine | Imrp, Carle Foundation Hospital, 611 W Park Street, Urbana, IL 61801 | 2017-07-11 |
| 1093236002 | Angela Lynn Devaney | Speech-Language Pathologist | 1400 W Park, Presence Covenant Medical Center, Urbana, IL 61801 | 2017-06-29 |
| 1346775236 | Jennifer Garcia | Student in an Organized Health Care Education/Training Program | Carle Foundation Hospital, 611 W. Park Street, Urbana, IL 61801 | 2017-04-27 |
| 1467992537 | Amber Kristine Davis | Speech-Language Pathologist | 1400 W. Park, Presence Health Medical Center, Urbana, IL 61801 | 2017-03-08 |
| Find all providers in zip 61801 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388009 | Ian Mackichan | Social Worker | 507 Springfield Ave, Urbana, IL 61801-3108 | 2020-08-25 |
| 1497246896 | Shanelle Marie Koroma | Social Worker | 2103 Pond St Unit B, Urbana, IL 61801-6852 | 2018-05-22 |
| 1053826677 | Michael Charles Langendorf | Social Worker | 2911 Haydon Dr, Urbana, IL 61802-9445 | 2017-12-05 |
| 1144731316 | Angela Marie Overholt | Social Worker | 700 S Gregory St Ste A, Urbana, IL 61801-3622 | 2017-10-16 |
| 1962872739 | Kevin Shepherd | Social Worker | 2012 E Amber Ln, Apartment 206, Urbana, IL 61802-6971 | 2015-10-05 |
| 1265736110 | Blueprint | Social Worker | 2704 Boulder Drive, Suite B, Urbana, IL 61802 | 2011-01-07 |
| 1215231204 | Brittany Jones | Social Worker | 903 S Lierman Ave Apt 25, Urbana, IL 61802-5477 | 2011-01-05 |
| 1912224783 | J&c Psychotherapy Services Inc | Social Worker | 301 W. Green Street, Urbana, IL 61801-3200 | 2010-05-03 |
| 1740516749 | Sue Wittman | Social Worker | 901 Harmon St, Urbana, IL 61801-6831 | 2009-10-26 |
| 1073741146 | Alyson Lurae Hunt | Social Worker | 1150 Scioto Street, Urbana, OH 43078 | 2009-06-29 |
| Find all providers in URBANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.