TRACEY B CARROLL (NPI# 1639227010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639227010 |
| Entity Type | Individual |
| Full Name | TRACEY B CARROLL |
| Credential | LCSW |
| Practice Address |
3565 Tates Creek Rd Apt 50 Lexington KY 40517-2604 |
| Mailing Address |
1351 Newtown Pike Lexington KY 40511-1217 |
| Practice Telephone | 8592531686 |
| Practice Fax Number | 8592542743 |
| Mailing Telephone | 8592531686 |
| Mailing Fax Number | 8592542743 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 1540 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 30615058 | 05 |
| Street Address |
3565 TATES CREEK RD APT 50 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40517-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467586313 | Sandra K Marshall | Case Manager/Care Coordinator | 3565 Tates Creek Rd, Lexington, KY 40517-2604 | 2007-03-15 |
| 1336273200 | Traci L Combs | Counselor | 3565 Tates Creek Rd, Lexington, KY 40517-2604 | 2007-03-15 |
| 1164572475 | Karen M Hailey | Registered Nurse | 3565 Tates Creek Rd, Apt 50, Lexington, KY 40517-2604 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
| 1538638515 | Lionheart Trauma Support Services, LLC | Social Worker | 168 E Reynolds Rd., Suite 210, Lexington, KY 40517 | 2018-11-19 |
| 1467964486 | Leila M Goodpaster | Counselor | 3205 Elk Lake Ct., Lexington, KY 40517 | 2017-10-31 |
| 1588108609 | Body Structure Clinic | Dietitian, Registered | 2600 Gribbin Dr., Lexington, KY 40517 | 2016-12-08 |
| 1932538766 | Lydia Akin | Social Worker | 3150 Custer Dr., Suite 103, Lexington, KY 40517 | 2013-11-02 |
| 1083986335 | Family Counseling Service | Social Worker | 1393 Trent Blvd., Lexington, KY 40517 | 2012-02-02 |
| 1356624233 | Michael Glindmeyer | Physical Therapist | 2600 Gribbin Drive, Lexington, KY 40517 | 2011-09-27 |
| 1740574052 | Benjamin Marshall | Psychiatry & Neurology | 228 E. Reynolds Rd, Ste B2, Lexington, KY 40517 | 2011-06-03 |
| 1982913745 | Cynae Rashel Carter | Social Worker | 343 Waller Avenue, Suite 201, Lexington, KY 40517 | 2010-09-28 |
| 1548401185 | Jason Eugene Thomas | Counselor | 1393 Trent Boulevard, Building 2, Suite 2101, Lexington, KY 40517 | 2009-03-11 |
| Find all providers in zip 40517 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234278 | Meridith Leigh Mincy | Social Worker | 340 Legion Dr Unit 48, Lexington, KY 40504-2716 | 2020-10-28 |
| 1316579097 | Amie De'shana Brunson | Social Worker | 316 Beaumont Dr, Lexington, SC 29072-8848 | 2020-02-10 |
| 1780246025 | Mary Elizabeth Williams | Social Worker | 160 Moore Dr Ste 208, Lexington, KY 40503-2936 | 2019-07-08 |
| 1770140089 | Abigail Jane Boente | Social Worker | 843 S Broadway, Lexington, KY 40504-2790 | 2019-05-22 |
| 1710450481 | Elizabeth Laura Brach | Social Worker | 10 Plymouth Rd, Lexington, MA 02421-5811 | 2019-01-05 |
| 1194209833 | Ellen Kaplan | Social Worker | 172 Burlington St, Lexington, MA 02420-1726 | 2018-09-19 |
| 1982188843 | Leigh Ann Reedy | Social Worker | 301 Palmetto Park Blvd Ste D, Lexington, SC 29072-7872 | 2018-09-18 |
| 1265915433 | Barbara Levine | Social Worker | 118 Reed St, Lexington, MA 02421-4229 | 2018-09-12 |
| 1639651961 | Lindsey Terry | Social Worker | 108 Palmetto Pk. Boulveard, Suite D, Lexington, SC 29072 | 2018-09-04 |
| 1861973398 | Sari Alter | Social Worker | 157 Wood St, Lexington, MA 02421-6421 | 2018-08-23 |
| Find all providers in LEXINGTON | ||||
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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.