Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY PULLIAM, LCSW
Active Sole ProprietorTRACY PULLIAM, LCSW is a Clinical Social Worker healthcare provider located in DECATUR, Illinois. NPI 1639458623 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · DECATUR, IL
Registration Details
- NPI Number
- 1639458623
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 9, 2011 (14.97511973506 yrs)
- Last Updated
- Sep 14, 2016
- License
-
149011563 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1900 E LAKE SHORE DRSUITE 201DECATUR, IL, 625213824Browse IL providers · Browse ZIP 62521
- Phone
- 2174220027
- Fax
- 2174220041
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in DECATUR, IL
| Name | Credential | NPI |
|---|---|---|
| SUSAN S BRINKLOW | LCSW, ACSW | 1174578751 |
| KAREN F COKLEY | MSW LCSW | 1558479659 |
| ROBERT L COKLEY | PHD | 1972611077 |
| MR. JERRY LYNN DOUGLAS | LCSW | 1841394939 |
| JANET L. WHITEHEAD | L.C.S.W. | 1518065119 |
| GENIEL GRABOWSKI | LCSW | 1811066913 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.