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

Individual provider Clinical Social Worker · NPI 1639458623

Tracy Pulliam, LCSW is a Clinical Social Worker in Decatur, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2011
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

1900 E Lake Shore Dr Ste 201
Decatur, IL 62521-3824
Phone: (217) 422-0027
Fax: (217) 422-0041
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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 149011563 (IL)

Record details

NPI number1639458623
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 9, 2011
Last updated in NPPESSeptember 14, 2016
Mailing address1508 878th St, Mount Pulaski, IL 62548-6569

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