MRS. TRACEY ANTIONETTE WHITE (NPI# 1619267051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619267051 |
| Entity Type | Individual |
| Full Name | MRS. TRACEY ANTIONETTE WHITE |
| Credential | MSW, LCSW |
| Practice Address |
6720 Lakeside Hills Dr Florissant MO 63033-5214 |
| Practice Telephone | 3148779045 |
| Mailing Telephone | 3148779045 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2019-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
2011007388 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558873778 | Tracey D White | Counselor | 3605 Alexander Forest Dr, Charlotte, NC 28269-5755 | 2017-10-27 |
| 1427333764 | Tracey Vanessa White | Occupational Therapist | 6631 Sw 18th St, Apt. 103, Pembroke Pines, FL 33023-2169 | 2011-10-19 |
| 1902362460 | Tracey White | Social Worker | 1027 Bellevue Ave Fl 4, Saint Louis, MO 63117-1851 | 2019-02-20 |
| 1508217647 | Tracey L White | Physical Therapy Assistant | 339 E Maple St, North Canton, OH 44720-2593 | 2016-06-30 |
| 1134555782 | Tracey Lynn White | Social Worker | 710 3rd Ave, Fairbanks, AK 99701-4455 | 2013-09-15 |
| 1750657680 | Tracey Anne White | Registered Nurse | 23d Medical Group 3278 Mitchell Blvd, Moody Afb, GA 31699-1500 | 2012-03-26 |
| 1760514749 | Tracey Ann White | Case Manager/Care Coordinator | 1404 East 16th Street, Russellville, AR 72802 | 2007-03-12 |
| Street Address |
6720 LAKESIDE HILLS DR |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63033-5214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376191841 | Victoria Crews | Technician | 13114 Tree's Edge Ct, Black Jack, MO 63033 | 2019-08-28 |
| 1275195976 | Herbal Envy Spa LLC | Home Health Aide | 12630 Shoreside Drive, Florissant, MO 63033 | 2019-07-02 |
| 1689231169 | Patrice Edora Hall | Clinic/Center | 500 Greenway Manor, Florissant, MO 63033 | 2019-05-21 |
| 1689153082 | Sew St. Louis LLC | Specialist | 2172 N Waterford Dr, Florissant, MO 63033 | 2018-08-07 |
| 1508344706 | Rekendra Farmer | Home Health | 3070 Kingsley Dr, Florissant, MO 63033 | 2018-07-31 |
| 1033616594 | B & J Consumer Directed Services | Home Health | 5 Farm Country Ct, Florissant, MO 63033 | 2018-04-11 |
| 1245740265 | Trusting Hands Home Health Services LLC | Home Health | 2430 Dresden Dr, Florissant, MO 63033 | 2017-10-04 |
| 1194243477 | Betty Moore | Registered Nurse | 2875 Devonshire Dr, Florissant, MO 63033 | 2017-09-06 |
| 1467976118 | Imperial Home Care, LLC | Home Health | 11674 Arroyo Dr, Florissant, MO 63033 | 2017-08-02 |
| 1194248492 | Apex Home Health Care Services LLC | Home Health | 3145 Kingsley Dr, Florissant, MO 63033 | 2017-07-19 |
| Find all providers in zip 63033 | ||||
| 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 |
|---|---|---|---|---|
| 1306447701 | Constance Fulks | Social Worker | 1141 Wooden Dr, Florissant, MO 63033-5954 | 2020-11-03 |
| 1497386080 | Ellen Margaret Goldwasser | Social Worker | 2200 N Highway 67 # 125, Florissant, MO 63033-9997 | 2020-01-31 |
| 1891333845 | Stacy Nakia Peebles | Social Worker | 200 Capri Dr, Florissant, MO 63033-5811 | 2019-12-19 |
| 1881151983 | Joni L Chester | Social Worker | 6 Cornflower Ct, Florissant, MO 63033-6530 | 2019-02-25 |
| 1760978068 | Awake & Align Wellness, LLC | Social Worker | 1760 Arundel Dr, Florissant, MO 63033-6325 | 2018-07-10 |
| 1811413875 | Rochelle Renee Johnson | Social Worker | 102 Marsala Ct, Florissant, MO 63031-8620 | 2017-08-21 |
| 1790200285 | Lauren Michelle Martinez | Social Worker | 2294 White Ash Ct, Florissant, MO 63031-2844 | 2017-08-07 |
| 1871032565 | Kelli Hummel | Social Worker | 1550 Derhake Rd, Florissant, MO 63033-6416 | 2017-02-15 |
| 1164968772 | Melissa D. Douglass | Social Worker | 1855 Chateau Du Mont Dr, Florissant, MO 63031-1053 | 2017-01-06 |
| 1619422961 | Sharon Daniels-hines | Social Worker | 11453 Tobaggon Trl, Florissant, MO 63033-7717 | 2016-08-16 |
| Find all providers in FLORISSANT | ||||
| City | FLORISSANT |
| Zip Code | 63033 |
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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.