Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Latisha Ann O Neal, LCSW

Individual provider Clinical Social Worker · NPI 1770779969

Latisha Ann O Neal, LCSW is a Clinical Social Worker in Decatur, Illinois. Qualified in 2006, 20 years ago. Practices with Board of Trustees of Southern Illinois University, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
20
Licensed in
IL
In the registry since
2007
What do these letters mean?
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

102 W Kenwood Ave Ste 100
Decatur, IL 62526-4379
Phone: (217) 872-3800
Fax: (217) 872-0849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 720 W Chestnut St, Bloomington, IL 61701-2814 — (309) 557-1400

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.017689 (IL)

Record details

NPI number1770779969
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 20, 2007
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Board Of Trustees Of Southern Illinois University — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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