JOHN ROBERT TRACY (NPI# 1063829901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063829901 |
Entity Type | Individual |
Full Name | JOHN ROBERT TRACY |
Credential | LCSW, LISW |
Practice Address |
500 Willow Ave Ste 210 Council Bluffs IA 51503-0827 |
Practice Telephone | 7123324640 |
Practice Fax Number | 7123224643 |
Mailing Telephone | 7123324640 |
Mailing Fax Number | 7123224643 |
Enumeration Date | 2014-07-11 |
Last Update Date | 2019-07-19 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
1211 | IA | Behavioral Health & Social Service Providers |
N | 1041C0700X |
Social Worker Specialization: Clinical |
CSW.00991938 | CO | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
300 W Broadway Ste 270, Council Bluffs, IA 515039028 | 7123107116 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730411471 | John M Tracy | Speech-Language Pathologist | 525 N. Santiam Highway, Lebanon, OR 97355-0739 | 2010-02-05 |
1265409288 | John William Tracy | Family Medicine | 1661 Turner Spur Rd, Fancy Gap, VA 24328-4365 | 2006-03-08 |
1477547735 | John Joseph Tracy | Optometrist | 2655 Cleveland Ave, Suite A, Santa Rosa, CA 95403-2779 | 2005-09-01 |
1265935456 | John Tracy IIi | Registered Nurse | 1139 S Main St, Galax, VA 24333-4409 | 2018-03-14 |
1437650330 | John Mccreary Tracy | Psychologist | 93 Magnate Dr, Lafayette, LA 70508-3890 | 2018-02-26 |
1255608444 | John W Tracy | Pharmacist | 1802 Galvin Rd S, Bellevue, NE 68005-3813 | 2011-11-16 |
1003145020 | John Michael Tracy Sr. | Pharmacist | 38 Locke Rd, Suite 3, Concord, NH 03301-5422 | 2009-12-22 |
1134342066 | John Tracy | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-04-10 |
1447297098 | John Timothy Tracy | Emergency Medicine | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2006-06-01 |
Street Address |
500 WILLOW AVE STE 210 |
City | COUNCIL BLUFFS |
State | IA |
Zip Code | 51503-0827 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326654377 | Michael Menendez | Counselor | N 6th Street and Ave E, Council Bluffs, IA 51503 | 2020-09-16 |
1417598301 | Katherine E Turner | Counselor | 2303 Butler Street, Council Bluffs, IA 51503 | 2019-10-02 |
1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
1629429451 | Nathan Charles Shumway | Podiatrist | 320 Mckenzie Ave Ste 102, Council Bluffs, IA 51503 | 2016-06-22 |
1699131797 | Bluffs Pain Management LLC | Pain Medicine | 201 Ridge St Suite 102, Council Bluffs, IA 51503 | 2016-01-06 |
1811246903 | Georgia Ann Boeck | Hearing Instrument Specialist | 900 Woodbury Avenue, Suite 8b, Council Bluffs, IA 51503 | 2012-09-05 |
1790055796 | Wendy Jane'e Zenor | Licensed Practical Nurse | 1525 Rolling Hills Loop, Council Bluffs, IA 51503 | 2012-01-06 |
1649579186 | Mohana K Loya | Internal Medicine | 933 E Pierce St., Council Bluffs, IA 51503 | 2011-03-23 |
1568761369 | Brenda Kay Sennett | Occupational Therapist | 1600 Mcpherson Avenue, Council Bluffs, IA 51503 | 2011-03-18 |
1710129671 | Heart Lung and Vascular Surgery PC | Specialist | 210 Ridge, Jennie Edmundsen Hospital, Council Bluffs, IA 51503 | 2009-03-24 |
Find all providers in zip 51503 |
Taxonomy Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619455847 | Candella | Social Worker | 427 E Kanesville Blvd Ste 411, Council Bluffs, IA 51503-4403 | 2018-07-31 |
1386195360 | Amy Steil | Social Worker | 1722 Avenue C, Council Bluffs, IA 51501-2440 | 2016-10-14 |
1407208390 | Clear Mind Therapy LLC | Social Worker | 300 W Broadway Ste 706, Council Bluffs, IA 51503-4489 | 2016-07-05 |
1891030649 | Candice Stark Vallejo | Social Worker | 300 W Broadway Ste 29, Council Bluffs, IA 51503-9030 | 2012-12-05 |
1740565415 | Laura Givens | Social Worker | 147 15th Ave, Council Bluffs, IA 51503-6827 | 2011-10-13 |
1255669909 | Michaella Ruth Dunn | Social Worker | 300 W Broadway Ste 270, Council Bluffs, IA 51503-9028 | 2009-11-18 |
1124278387 | Rachel E Pfeifer | Social Worker | 515 E. Broadway, Council Bluffs, IA 51503 | 2008-09-24 |
1023265105 | Brigette Lee Hertlein | Social Worker | 35 Main Pl, Suite 100, Council Bluffs, IA 51503-0715 | 2008-08-20 |
1083876924 | Lisa Marie Kee | Social Worker | 427 E. Kanesville, Suite 102, Council Bluffs, IA 51503 | 2008-07-01 |
1649322488 | Shelie D Leighter | Social Worker | 427 E Kanesville Blvd Ste 102, Council Bluffs, IA 51503-4403 | 2007-01-18 |
Find all providers in COUNCIL BLUFFS |
City | COUNCIL BLUFFS |
Zip Code | 51503 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.