Individual provider · Type 1 NPI

Latavia Shantaye Agada, MA, LCSW

Clinical Social Worker · Rockford, IL

NPI number 1417338799 Active

Practice location

2823 Glenwood Ave.
Rockford, IL 61101

Call (815) 968-5342 Map

Fax (815) 968-4656

Mailing address

2823 Glenwood Avenue
Rockford, IL 61101

Other practice locations

  • 8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA 22031-4516 · (415) 424-4266
  • 475 Biltmore Way Ste 109, Coral Gables, FL 33134-5724 · (415) 424-4266
  • 8300 Esters Blvd Ste 900, Irving, TX 75063-2233 · (415) 424-4266
  • 111 W Jackson Blvd Downtown, Suite 1700, Chicago, IL 60604 · (415) 424-4266

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X150015210 (IL)
Clinical Social Worker Primary 1041C0700X149.018494 (IL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1417338799

Latavia Shantaye Agada, MA, LCSW's National Provider Identifier is 1417338799, issued on Jun 12, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockford, IL. The record was last updated on Feb 18, 2025.