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LATRICE WILLIS LCSW
NPI 1437622230
Social Worker - Clinical in Champaign, IL

Active since January 04, 2019PECOS Enrolled
1619 S MATTIS AVE, CHAMPAIGN, IL 61821(217) 979-9249 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2021, Jan 4, 2019 (2 updates tracked since 2019).

About Latrice Willis Lcsw NPPES

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

LATRICE WILLIS LCSW (NPI 1437622230) is an individual clinical provider in Champaign, Illinois, licensed in Illinois (149.019796) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1437622230
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLATRICE WILLISCredential: LCSW
Location Address1619 S MATTIS AVEChampaign, IL 61821-5470
Mailing Address1619 S Mattis AveChampaign, IL 61821-5470 · (217) 979-9249
Phone(217) 979-9249
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 4, 2019
Last NPPES UpdateOctober 22, 20212 updates tracked since enumeration
NPPES CertifiedOctober 22, 2021
✔ NPI 1437622230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.019796
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.
1619 S MATTIS AVE, Champaign, IL 61821
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latrice Willis Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991045775
PECOS Enrollment IDI20260319003303
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61821 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRAVE BEGINNINGS COUNSELING, LLC
Social Worker (Clinical)
1619 S MATTIS AVE
CHAMPAIGN, IL 61821
Champaign County (217) 979-9249

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 Latrice Willis's NPI number?

The NPI number for Latrice Willis is 1437622230. It was assigned to this individual provider in the NPPES registry on January 4, 2019.

Where is Latrice Willis located?

Latrice Willis practices at 1619 S Mattis Ave, Champaign, IL 61821. The listed phone number is (217) 979-9249.

What is Latrice Willis's specialty?

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

Is Latrice Willis enrolled in Medicare?

Yes. Latrice Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Latrice Willis was last updated on October 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.