Provider Demographics
NPI:1255860664
Name:BECKER, HANNAH LANETTE (LICENSED CLINICAL SO)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:LANETTE
Last Name:BECKER
Suffix:
Gender:F
Credentials:LICENSED CLINICAL SO
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:LANETTE
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICENSED CLINICAL SO
Mailing Address - Street 1:792 N SUNNYSIDE RD
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62522
Mailing Address - Country:US
Mailing Address - Phone:217-362-5442
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF VETERANS AFFAIRS
Practice Address - Street 2:792 N SUNNYSIDE RD
Practice Address - City:DECATUR
Practice Address - State:IL
Practice Address - Zip Code:62522
Practice Address - Country:US
Practice Address - Phone:217-362-5442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH16006921041C0700X
IL1490180281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical