TRACY MARSHALL (NPI# 1114463965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114463965 |
| Entity Type | Individual |
| Full Name | TRACY MARSHALL |
| Credential | LCSW |
| Practice Address |
930 W Harris St Eureka CA 95503-3927 |
| Practice Telephone | 7072697571 |
| Practice Fax Number | 7072697556 |
| Mailing Telephone | 7072697571 |
| Mailing Fax Number | 7072697556 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
71005 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619414067 | Tracy Marshall | Licensed Practical Nurse | 6081 Brofield Dr, Hamilton, OH 45011-5154 | 2017-01-24 |
| 1942665567 | Tracy Marshall | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 255 Grimes Rd, Woodstock, GA 30188-6725 | 2015-12-25 |
| 1245627553 | Tracy Marshall | Licensed Practical Nurse | 112 N. Reservation Rd, Mcdermitt, NV 89421 | 2015-04-24 |
| 1538313101 | Tracy Jones Marshall | Licensed Practical Nurse | 940 Highway 96 Ste A, Warner Robins, GA 31088-2587 | 2008-11-10 |
| 1285898700 | Tracy Lee Marshall | Counselor | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2008-07-14 |
| 1316206089 | Tracy A Marshall | Case Manager/Care Coordinator | 4 S Main St, Fall River, MA 02721-5327 | 2012-05-15 |
| 1114117884 | Tracy Marshall | Counselor | 28545 Highway 18, Skyforest, CA 92385-0578 | 2007-07-30 |
| 1386852531 | Tracy Marshall | Physical Therapy Assistant | 1941 Savage Rd, Suite 400c, Charleston, SC 29407-4704 | 2007-05-20 |
| 1497863625 | Tracy Marshall | Speech-Language Pathologist | 5645 Main St, Flushing, NY 11355-5045 | 2006-08-28 |
| Street Address |
930 W HARRIS ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95503-3927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669425013 | San Francisco Vamc | Clinic/Center | 930 W Harris St, Eureka, CA 95503-3927 | 2006-05-18 |
| 1518323948 | Forest Harpham | Social Worker | 930 W Harris St, Eureka, CA 95503-3927 | 2016-01-14 |
| 1417353186 | Tessa Thralls | Dietitian, Registered | 930 W Harris St, Eureka, CA 95503-3927 | 2014-11-07 |
| 1013262211 | Juanita Duran-wilson | Social Worker | 930 W Harris St, Eureka Va Cboc, Eureka, CA 95503-3927 | 2012-07-13 |
| 1891083267 | Rebecca Dawn Morris | Nurse Practitioner | 930 W Harris St, Eureka, CA 95503-3927 | 2011-07-19 |
| 1689867632 | San Francisco Vamc | Department of Veterans Affairs (VA) Pharmacy | 930 W Harris St, Eureka, CA 95503-3927 | 2007-08-23 |
| 1366570715 | Douglas Santford Rose-noble | Social Worker | 930 W Harris St, Eureka, CA 95503-3927 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717244 | Margaret Ramsey | Technician | 463 Ole Hansen Rd., Eureka, CA 95503 | 2019-08-27 |
| 1033765060 | John C Nelson Md Inc | Family Medicine | Hospice of Humboldt, 3327 Timber Fall Court, Eureka, CA 95503 | 2019-08-15 |
| 1861904815 | Remi Vista, Inc. | Marriage & Family Therapist | 3109 H St, Eureka, CA 95503 | 2017-10-31 |
| 1427576487 | Liliana Alonso | Case Manager/Care Coordinator | 3960 Walnut Dr., Eureka, CA 95503 | 2017-08-30 |
| 1801243241 | Sarah Kingstrom | Physician Assistant | 2933 Pigeon Point Rd, Eureka, CA 95503 | 2016-05-16 |
| 1760738389 | Gail Mildred Pascoe | Marriage & Family Therapist | 618 Harris Street, Eureka, CA 95503 | 2012-08-01 |
| 1497084933 | Angus Bynon Stewart | Ophthalmology | 77 Sole Street, Eureka, CA 95503 | 2009-12-11 |
| 1942454301 | Balanced Physical Therapy | Physical Therapist | 2900 Harris St., Eureka, CA 95503 | 2008-11-12 |
| 1073762480 | Michele Lee Rogers | Marriage & Family Therapist | 3172 Walford Ave Ste 2, Eureka, CA 95503 | 2008-09-10 |
| 1952592321 | Brian James Smith | Dentist | 831 Harris Street, Eureka, CA 95503 | 2007-08-09 |
| Find all providers in zip 95503 | ||||
| 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 |
|---|---|---|---|---|
| 1598365389 | Camila Alaasam | Social Worker | 2145 Myrtle Ave # 3323, Eureka, CA 95501-3323 | 2020-10-29 |
| 1801493804 | Autumn Benedetti | Social Worker | 43 Baron Ln, Eureka, MT 59917-9021 | 2020-10-03 |
| 1588159305 | Raquel Elizabeth Lee | Social Worker | 3826 E St, Eureka, CA 95503-6065 | 2018-06-25 |
| 1134611247 | Kathleen Lowder | Social Worker | 525 2nd St Ste 300, Eureka, CA 95501-0488 | 2018-06-04 |
| 1801317052 | Lisa Okeefe | Social Worker | 381 Bayside Road, Eureka, CA 95501-0299 | 2017-06-28 |
| 1639606114 | Nicole Pina | Social Worker | 710 E St, Eureka, CA 95501-1865 | 2017-05-16 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1710331251 | Rita Zito | Social Worker | 3172 Walford Ave Ste 5, Eureka, CA 95503-4898 | 2016-04-21 |
| 1679988042 | Amanda Marie Gilman | Social Worker | 8 Hilltop Village Center Dr, Eureka, MO 63025-1105 | 2014-06-24 |
| 1225307259 | Amy Labovitz Cirincione | Social Worker | 524 5th St, Eureka, CA 95501-1033 | 2011-12-20 |
| Find all providers in EUREKA | ||||
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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.