TRACY LYNN SMITH (NPI# 1417067539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417067539 |
| Entity Type | Individual |
| Full Name | TRACY LYNN SMITH |
| Credential | MA |
| Practice Address |
4407 Maccorkle Ave Se Charleston WV 25304-2541 |
| Practice Telephone | 3049250800 |
| Practice Fax Number | 3049250805 |
| Mailing Telephone | 3049250800 |
| Mailing Fax Number | 3049050805 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 785 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 9205040000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629681036 | Tracy Smith | In Home Supportive Care | 2400 Buffalo Gap Rd # 189, Abilene, TX 79605-6102 | 2020-08-25 |
| 1881236552 | Tracy Smith | Contractor | 1619 3rd Ave Se, Rochester, MN 55904-7945 | 2019-10-14 |
| 1619534013 | Tracy Erica Smith | Technician, Other | 1202 Glenview Dr, Mogadore, OH 44260-9581 | 2019-05-22 |
| 1346709011 | Tracy Cornelia Smith | Nurse Practitioner | 6104 Raleigh St Apt 1606, Orlando, FL 32835-2230 | 2019-03-13 |
| 1588135750 | Tracy Jo Smith | Voluntary or Charitable | 4259 N Williamston Rd, Williamston, MI 48895-9175 | 2018-12-16 |
| 1194222372 | Tracy Lynette Smith | Counselor | 55 Seargent Dr, Natchez, MS 39120-4782 | 2018-04-12 |
| 1740728070 | Tracy Smith | Social Worker | 8507 Ne 47th Street, Spencer, OK 73084 | 2017-02-07 |
| 1194273425 | Tracy Smith | Social Worker | 40 Daveitta Dr, Savannah, GA 31419-3155 | 2016-09-15 |
| 1265810410 | Tracy Dawn Smith | Counselor | 400 Bhrett Dr, Energy, IL 62933-3570 | 2015-05-08 |
| 1457789356 | Tracy L Smith | Behavioral Analyst | 10917 N Blackwelder Ave, Oklahoma City, OK 73120-7915 | 2013-10-31 |
| Street Address |
4407 MACCORKLE AVE SE |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25304-2541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013971761 | Brenda Moody Walker | Nurse Practitioner | 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 | 2006-04-12 |
| 1407466535 | Valley Health Systems, Inc | Pediatrics | 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 | 2020-08-04 |
| 1285283390 | Chelsea Salvatore | Nurse Practitioner | 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 | 2019-09-11 |
| 1659701738 | Heather N Hudson | Physician Assistant | 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 | 2013-11-26 |
| 1437404852 | Michelle Arceneaux Proops | Nurse Practitioner | 4407 Maccorkle Ave Se, 2nd Floor, Charleston, WV 25304-2505 | 2012-07-23 |
| 1821267154 | Robert Scott Milam | Physician Assistant | 4407 Maccorkle Ave Se, Charleston, WV 25304-2505 | 2008-02-20 |
| 1144340787 | Applachain Pain Therapy Institute | Pain Medicine | 4407 Maccorkle Ave Se, Charleston, WV 25304-2505 | 2007-03-29 |
| 1346310893 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 4407 Maccorkle Ave Se, Charleston, WV 25304-2541 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740893908 | Sade Yvonne Rice | Technician | 392 B South Parkd Rd, Charleston, WV 25304 | 2020-08-27 |
| 1053931410 | Pir Ali Shah | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast Robert C. Bind Clinical, Charleston, WV 25304 | 2020-04-25 |
| 1649807603 | Jasmine Shah | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Avenue, Se, Student Services Department - Wvu Building, 4th Floor, Charleston, WV 25304 | 2020-03-26 |
| 1447811872 | Kwasi Amponsah Gambrah | Student in an Organized Health Care Education/Training Program | 3200 Mac Corkle Ave. Se, Robert C. Byrd Clinical Teaching Center, 5th Floor, Charlestoni, WV 25304 | 2019-06-26 |
| 1457916751 | Divya Kalluru | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Avenue Southeast, Robert C. Bird Clinica, 4th Floor Internal Medicine Department, Charleston, WV 25304 | 2019-05-02 |
| 1841854965 | Sean Michael Percy Losier | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave., Se, Camc Family Medicine Center Robert C. Byrd Clinical Tea, Charleston, WV 25304 | 2019-04-24 |
| 1700440047 | Priyanka Chowdhry | Student in an Organized Health Care Education/Training Program | Robert C. Bird Clinical Training Center, 4th Floor, 3200 Maccorkle Avenue, Southeast, Charleston, WV 25304 | 2019-04-23 |
| 1568925469 | Saranya Dinesan | Student in an Organized Health Care Education/Training Program | 3200 Maccorkle Ave. Se, 4th Floor, Robert C. Byrd Clini, Charleston, WV 25304 | 2019-04-09 |
| 1043771694 | Mary Elizabeth Novak | Student in an Organized Health Care Education/Training Program | Camc Memorial Hospital, Surgicare Center, 3200 Maccorkle Ave Se, Charleston, WV 25304 | 2019-03-27 |
| 1124518600 | Abdullah Sohail | Student in an Organized Health Care Education/Training Program | 4th Floor, 3200 Maccorkle Ave, South East Robert C. Bir, Charleston, WV 25304 | 2018-05-10 |
| Find all providers in zip 25304 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993301 | Alice Huang | Psychologist | 3 Sawgrass Rd Apt A7, Charleston, SC 29412-2580 | 2020-05-15 |
| 1912489378 | Christopher T Sege | Psychologist | 67 President St 2nd Fl S, Msc 861, Charleston, SC 29425 | 2018-09-03 |
| 1770063158 | Katelyn Campbell | Psychologist | 1 Carriage Ln Ste 102, Charleston, SC 29407 | 2018-08-15 |
| 1003345943 | In Harmony Inc | Psychologist | 1027 Quarrier St, Charleston, WV 25301-2302 | 2017-06-05 |
| 1699223610 | Megan Holly Lawhon | Psychologist | 4407 Maccorkle Ave Se Ste 1, Charleston, WV 25304-2541 | 2016-09-19 |
| 1639537798 | Alicia L Smith | Psychologist | 10 Hale St Ste 206, Charleston, WV 25301-2830 | 2016-02-04 |
| 1992180509 | Daniel Dewey | Psychologist | 17a Cannon St, Charleston, SC 29403-5401 | 2015-07-24 |
| 1043634165 | Kindra Westercamp | Psychologist | 7 Gamecock Ave Ste 710, Charleston, SC 29407-3379 | 2014-02-10 |
| 1013354281 | Kathryn Reid | Psychologist | 1016 Telfair Way, Charleston, SC 29412-2390 | 2013-05-29 |
| 1225339153 | Jennifer Mills Price | Psychologist | 1335 Virginia St E, Charleston, WV 25301-3011 | 2010-11-09 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25304 |
Please comment or provide details below to improve the information on TRACY LYNN SMITH.
| 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.