TRACY PULLIAM LCSW
NPI 1639458623
Social Worker - Clinical in Decatur, IL

Active since August 09, 2011
1900 E LAKE SHORE DR, SUITE 201, DECATUR, IL 62521(217) 422-0027(217) 422-0041 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Pulliam Lcsw NPPES

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

TRACY PULLIAM LCSW (NPI 1639458623) is an individual clinical provider in Decatur, Illinois, licensed in Illinois (149011563) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1639458623
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTRACY PULLIAMCredential: LCSW
Location Address1900 E LAKE SHORE DR, SUITE 201Decatur, IL 62521-3824
Mailing Address1508 878th StMount Pulaski, IL 62548-6569 · (217) 840-6178 · Fax (217) 422-0041
Fax(217) 422-0041
Sole ProprietorYes
Enumeration DateAugust 9, 2011
Last NPPES UpdateSeptember 14, 2016
NPI 1639458623 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 · 149011563
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.
1900 E LAKE SHORE DR, Decatur, IL 62521

Other Providers at the Same Location NPPES 15

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

Physical Therapy Assistant
1900 E LAKE SHORE DR
DECATUR, IL 62521
Specialist/Technologist (Athletic Trainer)
1900 E LAKE SHORE DR, SUITE 150
DECATUR, IL 62521
Physical Therapist
1900 E LAKE SHORE DR, SUITE 150
DECATUR, IL 62521
Physician Assistant
1900 E LAKE SHORE DR, SUITE 200
DECATUR, IL 62521
Specialist/Technologist (Athletic Trainer)
1900 E LAKE SHORE DR
DECATUR, IL 62521
Nurse Practitioner (Pediatrics)
1900 E LAKE SHORE DR, SUITE 330
DECATUR, IL 62521
Physical Therapist
1900 E LAKE SHORE DR
DECATUR, IL 62521
Physical Therapist
1900 E LAKE SHORE DR, SUITE 150
DECATUR, IL 62521

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 Tracy Pulliam's NPI number?

The NPI number for Tracy Pulliam is 1639458623. It was assigned to this individual provider in the NPPES registry on August 9, 2011.

Where is Tracy Pulliam located?

Tracy Pulliam practices at 1900 E Lake Shore Dr Suite 201, Decatur, IL 62521. The listed phone number is (217) 422-0027.

What is Tracy Pulliam's specialty?

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

When was this NPI record last updated?

The NPPES record for Tracy Pulliam was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.