TRACY SMITH (NPI# 1649818105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649818105 |
| Entity Type | Individual |
| Full Name | TRACY SMITH |
| Practice Address |
1328 2nd St Santa Monica CA 90401-1122 |
| Practice Telephone | 3103946889 |
| Mailing Telephone | 3103946889 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| 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 |
1328 2ND ST |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518061266 | Heide Hamelberg | Psychologist | 1328 2nd St, Santa Monica, CA 90401-1122 | 2006-09-12 |
| 1275140238 | Saidy Amador | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-09-24 |
| 1194331983 | Claudia Lorena Orellana | Community Health Worker | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-09-17 |
| 1083220867 | Daniel Rodriguez | Community Health Worker | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-09-17 |
| 1114539392 | Melissa Meza | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-08-19 |
| 1760091896 | Crystal Corral Herrera | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-07-24 |
| 1215545132 | Sydney Fine | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-07-16 |
| 1437770344 | Claire Gordon | Counselor | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-05-01 |
| 1528606076 | Susan Anne Herbert | Counselor | 1328 2nd St, Santa Monica, CA 90401-1122 | 2019-12-16 |
| 1992343453 | Marlene Garcia | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2019-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| 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 |
|---|---|---|---|---|
| 1215129747 | Kira Dimitroff | Case Manager/Care Coordinator | 1848 Lincoln Blvd Ste 100, Santa Monica, CA 90404-4580 | 2007-08-17 |
| 1922207976 | Sarah Babb | Case Manager/Care Coordinator | 1751 Cloverfield, Santa Monica, CA 90404 | 2007-07-11 |
| 1104946169 | Wayne Bauer | Case Manager/Care Coordinator | 2701 Ocean Park Blvd Ste 150, Santa Monica, CA 90405-5219 | 2007-03-30 |
| 1689706509 | Summer Jay Langley | Case Manager/Care Coordinator | 1848 Lincoln Blvd, Suite 100, Santa Monica, CA 90404-4580 | 2007-03-09 |
| 1780725606 | Kimjoy Wheaton | Case Manager/Care Coordinator | 1751 Cloverfield Blvd, Santa Monica, CA 90404-4007 | 2007-02-12 |
| 1972100907 | Valeria Montoya Ramirez | Case Manager/Care Coordinator | 3435 Ocean Park Blvd Ste 207, Santa Monica, CA 90405-3314 | 2020-10-02 |
| 1275140238 | Saidy Amador | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-09-24 |
| 1124634167 | Jacklyn Pricella Saucedo | Case Manager/Care Coordinator | 1023 Pico Blvd, Santa Monica, CA 90405-1415 | 2020-09-16 |
| 1114539392 | Melissa Meza | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-08-19 |
| 1760091896 | Crystal Corral Herrera | Case Manager/Care Coordinator | 1328 2nd St, Santa Monica, CA 90401-1122 | 2020-07-24 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
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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.