TRACY PULLIAM (LCSW) – Clinical Social Worker, NPI 1639458623

TRACY PULLIAM (LCSW) is a healthcare provider. based in Mount pulaski, Illinois. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 149011563 (IL). The NPI Number for TRACY PULLIAM (LCSW) is 1639458623

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
TRACY PULLIAM (LCSW)
NPI
1639458623
Phone
(217) 840-6178
Address
1508 878TH ST
Enumeration Date
9 August 2011
Last Update Date
14 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2174220027
Graduation Year
2000 (26 years ago)
PAC ID
5193985471
Group Practice PAC ID
8426065186
Professional Enrollment ID
I20120323000064
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for TRACY PULLIAM (LCSW)

  • 1508 878TH ST

    MOUNT PULASKI, IL 625486569

    Phone: (217) 840-6178

    Fax: (217) 422-0041

    Type: Mailing

  • 1900 E LAKE SHORE DR

    SUITE 201

    DECATUR, IL 625213824

    Phone: (217) 422-0027

    Fax: (217) 422-0041

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62548)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426065186View full group profile
NameSpecialtyState
DR. BEVERLY J MATTHEWS (PSYD)
Clinical PsychologistIL
DR. ANJUM BASHIR (M.D.)
P S Y C H I A T R YIL
MRS. ANNIE MICHELE SMITH (L.C.S.W.)
Clinical Social WorkerIL
AMANDA FISHER (LCSW)
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What is the registry number for TRACY PULLIAM (LCSW)?
The registry entry for TRACY PULLIAM (LCSW) shows NPI 1639458623.
Is TRACY PULLIAM (LCSW) currently accepting referrals based on NPI status?
Registry metadata lists TRACY PULLIAM (LCSW) as active.
Which specialty label fits TRACY PULLIAM (LCSW)?
NPPES ties TRACY PULLIAM (LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to TRACY PULLIAM (LCSW)?
TRACY PULLIAM (LCSW) shows a connection to Mount Pulaski, Illinois in registry-derived data.
Who maintains TRACY PULLIAM (LCSW)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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