LATISHA ANN O NEAL LCSW
NPI 1770779969
Social Worker - Clinical in Decatur, IL
About Latisha Ann O Neal Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATISHA ANN O NEAL LCSW (NPI 1770779969) is an individual clinical provider in Decatur, Illinois, licensed in Illinois (149.017689) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bloomington, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Latisha Ann O Neal Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Latisha O Neal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, IL 62702
- Reassigned Medicare billing, Illinois enrollment
- 262 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Latisha O Neal's NPI number?
The NPI number for Latisha O Neal is 1770779969. It was assigned to this individual provider in the NPPES registry on September 20, 2007.
Where is Latisha O Neal located?
Latisha O Neal practices at 102 W Kenwood Ave Ste 100, Decatur, IL 62526. The listed phone number is (217) 872-3800.
What is Latisha O Neal's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Latisha O Neal enrolled in Medicare?
Yes. Latisha O Neal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Latisha O Neal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Latisha O Neal reassigns Medicare benefits to Board Of Trustees Of Southern Illinois University (Springfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latisha O Neal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Latisha O Neal was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Latisha Ann O Neal, LCSW · NPI 1770779969
Clinical provider in Decatur, Illinois. Individual provider, active in the CMS NPPES registry since September 20, 2007.
## Identity
- **NPI:** 1770779969 (Entity type: Individual)
- **Enumerated:** September 20, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 149.017689 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 102 W KENWOOD AVE STE 100, Decatur, IL 62526-4379
- **Phone:** (217) 872-3800 · **Fax:** (217) 872-0849
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Board Of Trustees Of Southern Illinois University (NPI 1396097960, Springfield, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** November 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1770779969) · Data from the CMS NPPES public registry.