IndividualActive
Tracy Pulliam, LCSW
NPI 1639458623 · Clinical Social Worker · Decatur, IL
Tracy Pulliam, LCSW is a Clinical Social Worker provider in Decatur, IL (NPI 1639458623).
Provider details
- NPI number
- 1639458623
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 149011563 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1900 E Lake Shore Dr
Suite 201
Decatur, IL 62521-3824
Phone: (217) 422-0027
Fax: (217) 422-0041
Street-level locationGet directions
Mailing address
1508 878th St
Mount Pulaski, IL 62548-6569
Registry dates
- Enumerated
- 2011-08-09
- Last updated
- 2016-09-14
Frequently asked questions
- What is Tracy Pulliam's NPI number?
- Tracy Pulliam's National Provider Identifier (NPI) is 1639458623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracy Pulliam's specialty?
- Tracy Pulliam is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tracy Pulliam located?
- Tracy Pulliam's practice location on file with NPPES is 1900 E Lake Shore Dr, Decatur, IL 62521-3824.
- What is Tracy Pulliam's phone number?
- The practice phone number listed in the NPPES registry for Tracy Pulliam is (217) 422-0027.
- Is Tracy Pulliam's NPI active?
- Yes — Tracy Pulliam's NPI (1639458623) is active in the NPPES registry as of the last update on 2016-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.