JOHN ROBERT TRACY


Address: 500 Willow Ave Ste 210, Council Bluffs, IA 51503-0827
Phone: 7123324640

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
300 W Broadway Ste 270, Council Bluffs, IA 515039028 7123107116

Other Providers JOHN TRACY

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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

Office Location

Street Address 500 WILLOW AVE STE 210
City COUNCIL BLUFFS
State IA
Zip Code 51503-0827

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

Search similar providers

City COUNCIL BLUFFS
Zip Code 51503

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Dataset Information

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.

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