FAYTHE REYHAN FLINN (LCSW) – Social Worker, NPI 1205644010

FAYTHE REYHAN FLINN (LCSW) is a healthcare provider. based in Havana, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149030342 (IL). The NPI Number for FAYTHE REYHAN FLINN (LCSW) is 1205644010

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
FAYTHE REYHAN FLINN (LCSW)
NPI
1205644010
Phone
(217) 308-2440
Address
11859 N CR 1650E
Enumeration Date
26 December 2024
Last Update Date
13 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8152008520
Graduation Year
2020 (6 years ago)
PAC ID
7911497169
Group Practice PAC ID
1153708755
Professional Enrollment ID
I20251106000359
Address ID
IL618749505SA1801XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness85
Years active:1State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for FAYTHE REYHAN FLINN (LCSW)

  • 11859 N CR 1650E

    HAVANA, IL 626446890

    Phone: (217) 308-2440

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251106000359IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62644)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153708755View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What identifier follows FAYTHE REYHAN FLINN (LCSW) across health systems?
The NPI 1205644010 uniquely identifies FAYTHE REYHAN FLINN (LCSW) in U.S. healthcare data.
Does the public listing show FAYTHE REYHAN FLINN (LCSW) as active?
FAYTHE REYHAN FLINN (LCSW)'s NPI record reflects an active status in NPPES.
How should patients interpret FAYTHE REYHAN FLINN (LCSW)'s specialty?
The extract shows Social Worker for FAYTHE REYHAN FLINN (LCSW). Clinical services aligned with this taxonomy classification.
What city is tied to FAYTHE REYHAN FLINN (LCSW)?
The directory associates FAYTHE REYHAN FLINN (LCSW) with Havana, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains FAYTHE REYHAN FLINN (LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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