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RAQUEL PULLIAM
NPI 1669152450
Social Worker in Mount Vernon, IL

Active since July 18, 2023
4202 WILLIAMSON PL STE 1, MOUNT VERNON, IL 62864(618) 816-1224 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2026, Jul 18, 2023 (2 updates tracked since 2023).

About Raquel Pulliam NPPES

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

RAQUEL PULLIAM (NPI 1669152450) is an individual social worker in Mount Vernon, Illinois, licensed in Illinois (149.031303) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1669152450
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameRAQUEL PULLIAM
Location Address4202 WILLIAMSON PL STE 1Mount Vernon, IL 62864-6760
Mailing Address1111 S Lincoln Ave Unit 1326O Fallon, IL 62269-5165 · (618) 816-1224
Phone(618) 816-1224
Sole ProprietorNo
Enumeration DateJuly 18, 2023
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1669152450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 149.031303
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
4202 WILLIAMSON PL STE 1, Mount Vernon, IL 62864
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Other Providers at the Same Location NPPES 3

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

DYNAMIC COUNSELING AND CONSULTATION SERVICES
Social Worker (Clinical)
4202 WILLIAMSON PL STE 1
MOUNT VERNON, IL 62864
Jefferson County (618) 816-1224
KRISTA BARBER LPC, ASOTP
Counselor (Professional)
4202 WILLIAMSON PL STE 1
MOUNT VERNON, IL 62864
Jefferson County (618) 816-1224
MS. CARRIE CAROLINE CROCKER MSW, LCSW
Social Worker (Clinical)
4202 WILLIAMSON PL STE 1
MOUNT VERNON, IL 62864
Jefferson County (618) 816-1224

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 Raquel Pulliam's NPI number?

The NPI number for Raquel Pulliam is 1669152450. It was assigned to this individual provider in the NPPES registry on July 18, 2023.

Where is Raquel Pulliam located?

Raquel Pulliam practices at 4202 Williamson Pl Ste 1, Mount Vernon, IL 62864. The listed phone number is (618) 816-1224.

What is Raquel Pulliam's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Raquel Pulliam was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.