Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tina Marie Lakatos, LCSW

Individual provider Clinical Social Worker · NPI 1881828804

Tina Marie Lakatos, LCSW is a Clinical Social Worker in Champaign, Illinois. Qualified in 2004, 22 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Illinois.

Years since qualifying
22
Licensed in
AZ, IL
In the registry since
2009
Specialties on file
2
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

206 N Randolph St Ste 2
Champaign, IL 61820-3976
Phone: (833) 351-8255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4435 E Chandler Blvd Ste 200, Phoenix, AZ 85048-7651 — (833) 351-8255
  • 228, Summit, IL 60501-0228 — (708) 527-1920

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.014903 (IL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 22156 (AZ)

Record details

NPI number1881828804
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 5, 2009
Last updated in NPPESSeptember 25, 2026
Certification dateSeptember 25, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Champaign