Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Latavia Shantaye Agada, MA, LCSW

Individual provider Social Worker · NPI 1417338799

Latavia Shantaye Agada, MA, LCSW is a Social Worker in Rockford, Illinois. Works from 5 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2823 Glenwood Ave
Rockford, IL 61101
Phone: (815) 968-5342
Fax: (815) 968-4656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 475 Biltmore Way Ste 109, Coral Gables, FL 33134-5724 — (415) 424-4266
  • 111 W Jackson Blvd Downtown, Chicago, IL 60604 — (415) 424-4266
  • 8300 Esters Blvd Ste 900, Irving, TX 75063-2233 — (415) 424-4266
  • 8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA 22031-4516 — (415) 424-4266

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.018494 (IL)
Social Worker Taxonomy 104100000X · Licence 150015210 (IL)

Record details

NPI number1417338799
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LCSW
Sole proprietorNo
NPI enumeratedJune 12, 2015
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 13, 2025

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