TRACY PHELPS (NPI# 1497174577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497174577 |
| Entity Type | Individual |
| Full Name | TRACY PHELPS |
| Practice Address |
2164 Canyon Dr Apt J Costa Mesa CA 92627-4899 |
| Practice Telephone | 9493943644 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 21899 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154575801 | Tracy Phelps | Family Medicine | 1124 N Washington St, Shelby, NC 28150-3862 | 2008-11-07 |
| Street Address |
2164 CANYON DR APT J |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627-4899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| 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 |
|---|---|---|---|---|
| 1225642531 | Inner Wisdom Psychotherapy Assoc., Inc | Social Worker | 1006 Katama Bay Dr, Costa Mesa, CA 92627-9030 | 2020-09-03 |
| 1902429194 | Katharine Burgess | Social Worker | 2330 Vanguard Way Apt Q106, Costa Mesa, CA 92626-6583 | 2020-05-21 |
| 1003438433 | Joseph Madrid | Social Worker | 252 16th Pl Apt C, Costa Mesa, CA 92627-9410 | 2020-05-07 |
| 1699242677 | Gracielle Joyce Dalisay | Social Worker | 2973 Harbor Blvd # 462, Costa Mesa, CA 92626-3912 | 2018-10-29 |
| 1891209185 | Holly L Stefani | Social Worker | 288 Sherwood St, Costa Mesa, CA 92627-2160 | 2017-11-22 |
| 1073047296 | Sally Patricia Morris | Social Worker | 252 Hill Pl, Costa Mesa, CA 92627-1313 | 2017-04-13 |
| 1013363159 | Shelley Beckham | Social Worker | 271 Mesa Dr, Costa Mesa, CA 92627-4622 | 2016-05-08 |
| 1396111746 | Janet Mcdavid | Social Worker | 2569 Greenbriar Ln, Costa Mesa, CA 92626-6115 | 2015-08-19 |
| 1851790968 | Esteban Juarez | Social Worker | 3151 Airway Ave Ste F107, Costa Mesa, CA 92626-4623 | 2014-08-14 |
| 1497196596 | Angelina Teresa Gripp | Social Worker | 2488 Newport Blvd Ste A1, Costa Mesa, CA 92627-5196 | 2013-07-17 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
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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.