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LATAVIA SHANTAYE AGADA MA, LCSW
NPI 1417338799
Social Worker - Clinical in Rockford, IL

Active since June 12, 2015PECOS Enrolled
2823 GLENWOOD AVE., ROCKFORD, IL 61101(815) 968-5342(815) 968-4656 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 18, 2025, Sep 1, 2017, Dec 18, 2016 (3 updates tracked since 2016).

About Latavia Shantaye Agada Ma, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATAVIA SHANTAYE AGADA MA, LCSW (NPI 1417338799) is an individual clinical provider in Rockford, Illinois, licensed in Illinois (149.018494) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1417338799
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLATAVIA SHANTAYE AGADACredential: MA, LCSW
Location Address2823 GLENWOOD AVE.Rockford, IL 61101
Mailing Address2823 Glenwood AvenueRockford, IL 61101 · (815) 968-5342
Phone(815) 968-5342
Fax(815) 968-4656
Sole ProprietorNo
Enumeration DateJune 12, 2015
Last NPPES UpdateFebruary 18, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1417338799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.018494
Definition
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.
Also ListedSocial WorkerTaxonomy 104100000X · License 150015210 (IL)
2823 GLENWOOD AVE., Rockford, IL 61101
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Secondary Practice Locations 4

Location 1111 W Jackson Blvd Downtown, Suite 1700Chicago, IL 60604 · Phone (415) 424-4266
Location 2475 Biltmore Way Ste 109Coral Gables, FL 33134-5724 · Phone (415) 424-4266
Location 38280 Willow Oaks Corporate Dr Ste 600Fairfax, VA 22031-4516 · Phone (415) 424-4266
Location 48300 Esters Blvd Ste 900Irving, TX 75063-2233 · Phone (415) 424-4266

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latavia Shantaye Agada Ma, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
165 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latavia Agada's NPI number?

The NPI number for Latavia Agada is 1417338799. It was assigned to this individual provider in the NPPES registry on June 12, 2015.

Where is Latavia Agada located?

Latavia Agada practices at 2823 Glenwood Ave., Rockford, IL 61101. The listed phone number is (815) 968-5342.

What is Latavia Agada's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Latavia Agada enrolled in Medicare?

Yes. Latavia Agada is registered in the Medicare PECOS enrollment system.

What insurance does Latavia Agada accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company, Providence Health Plan and UnitedHealthcare list Latavia Agada as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Latavia Agada was last updated on February 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.