LATISHA ANN O NEAL LCSW
NPI 1770779969
Social Worker - Clinical in Decatur, IL

Active since September 20, 2007PECOS EnrolledAccepts Medicare Assignment
102 W KENWOOD AVE STE 100, DECATUR, IL 62526(217) 872-3800(217) 872-0849 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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

NPI1770779969
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLATISHA ANN O NEALCredential: LCSW
Location Address102 W KENWOOD AVE STE 100Decatur, IL 62526-4379
Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000 · Fax (217) 545-2101
Fax(217) 872-0849
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 20, 2007
Last NPPES UpdateNovember 7, 2023
NPPES CertifiedNovember 7, 2023
NPI 1770779969 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 · 149.017689
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.
102 W KENWOOD AVE STE 100, Decatur, IL 62526

Secondary Practice Location 1

Location 1720 W Chestnut StBloomington, IL 61701-2814 · Phone (309) 557-1400 ext. 1469 · Fax (309) 557-1461

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID1355798091
PECOS Enrollment IDI20231116003639
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 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.

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 20

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

Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526

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.

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.