MISS TRACY MARCEL MACK (NPI# 1578078432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578078432 |
| Entity Type | Individual |
| Full Name | MISS TRACY MARCEL MACK |
| Practice Address |
1239 Central Ave Middletown OH 45044-4103 |
| Mailing Address |
1206 Parkview Ave Middletown OH 45044-5851 |
| Practice Telephone | 5137371247 |
| Practice Fax Number | 5137373639 |
| Mailing Telephone | 5139152106 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2017-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982866935 | Tracy T Mack | Emergency Medicine | 300 East 6th Street, Texarkana, AR 71854 | 2008-07-01 |
| Street Address |
1239 CENTRAL AVE |
| City | MIDDLETOWN |
| State | OH |
| Zip Code | 45044-4103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679903215 | Rachel Mcewen | Counselor | 1239 Central Ave, Middletown, OH 45044-4103 | 2013-11-18 |
| 1730615683 | Robert Riddle | Social Worker | 1239 Central Ave, Middletown, OH 45044-4103 | 2017-05-11 |
| 1629518584 | Alicia Back | Counselor | 1239 Central Ave, Middletown, OH 45044-4103 | 2017-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174091250 | Pamela Little Little-hayes | Occupational Therapist | 1516 First Ave, Middletown, OH 45044 | 2018-11-07 |
| 1568955136 | King's Pharmacy | Pharmacy | 7043 Yankee Rd, Liberty Township, OH 45044 | 2018-06-08 |
| 1669964227 | Ashley Loren Witt | Counselor | 2005 Central Avenue, Middletown, OH 45044 | 2018-05-30 |
| 1598275703 | Liberty Endoscopy Center | Clinic/Center | 7360 Liberty One Dr, Liberty Township, OH 45044 | 2017-10-03 |
| 1295250330 | Inocencia Catral Ayson-schmidt | Registered Nurse | 2021 Monarch Drive, Middletown, OH 45044 | 2017-08-10 |
| 1356862973 | Selena E Mack | Home Health Aide | 1407 East St, Middletown, OH 45044 | 2017-07-05 |
| 1083135792 | Caroline Marie Goff | Social Worker | 321 Curtis Street, Middletown, OH 45044 | 2017-07-03 |
| 1013445659 | Erinn Michelle Torbeck | Dentist | 6862 Liberty Plaza Dr Ste 500, Liberty Township, OH 45044 | 2017-05-26 |
| 1194263160 | Pamela Gill | Private Vehicle | 1705 Sheridan Ave, Middletown, OH 45044 | 2017-02-09 |
| 1093265217 | Shirletta Hilton | Registered Nurse | 6143 Dawson Dr, Middletown, OH 45044 | 2016-10-12 |
| Find all providers in zip 45044 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471428 | Jackeline Montoya | Case Manager/Care Coordinator | 13 Kensington Manor, Middletown, NY 10941 | 2020-06-15 |
| 1720612039 | Jade Marie Jordan | Case Manager/Care Coordinator | 93 Reservoir Rd, Middletown, RI 02842-5832 | 2020-02-25 |
| 1306487152 | Elizabeth Ann Malanowski | Case Manager/Care Coordinator | 810 14th Ave, Middletown, OH 45044-5608 | 2019-10-02 |
| 1750891081 | Heather Skinner | Case Manager/Care Coordinator | 75 Crystal Run Rd Suite 201, Middletown, NY 10941 | 2017-09-29 |
| 1992107940 | Rosa Genao-delgado | Case Manager/Care Coordinator | 44 Walnut Ln, Middletown, NY 10940-6801 | 2014-09-22 |
| 1265849764 | Thelma Flores | Case Manager/Care Coordinator | 46 Cornwall Ln, Middletown, NY 10940-5077 | 2014-07-16 |
| 1205186301 | Anna-marissa Estep | Case Manager/Care Coordinator | 122 Castle High Rd, Middletown, NY 10940-6789 | 2012-09-16 |
| 1245593714 | Nicholas M Rivera | Case Manager/Care Coordinator | 9 Overhill Road, Middletown, NY 10940 | 2012-06-20 |
| 1518229392 | Dena Sapp | Case Manager/Care Coordinator | 75 Crystal Run Rd. Suite 201, Middletown, NY 10941 | 2012-06-08 |
| 1730366972 | Lisa A Liston | Case Manager/Care Coordinator | 1311 Central Ave, Middletown, OH 45044-4131 | 2008-01-30 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 45044 |
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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.