Healthcare Provider Details

I. General information

NPI: 1245774256
Provider Name (Legal Business Name): BRITTNEY HOMANN MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2016
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 E PARK ST STE 106
CHAMPAIGN IL
61820-3862
US

IV. Provider business mailing address

411 E PARK ST STE 106
CHAMPAIGN IL
61820-3862
US

V. Phone/Fax

Practice location:
  • Phone: 217-714-7042
  • Fax: 855-216-6514
Mailing address:
  • Phone: 309-886-5129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.023814
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: