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

Latrice Willis, LCSW

Individual provider Clinical Social Worker · NPI 1437622230

Latrice Willis, LCSW is a Clinical Social Worker in Champaign, Illinois. Qualified in 2014, 12 years ago. Practices with Mccd Fl Psychiatry Services PA, a 729-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2019
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

1619 S Mattis Ave
Champaign, IL 61821-5470
Phone: (217) 979-9249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.019796 (IL)

Record details

NPI number1437622230
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 4, 2019
Last updated in NPPESOctober 22, 2021
Certification dateOctober 22, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice McCd Fl Psychiatry Services Pa — 729 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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