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

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