TRACY M RILEY


Address: 10151 Deerwood Park Blvd Ste 200-250, Jacksonville, FL 32256
Phone: 9047042527

TRACY M RILEY (NPI# 1679762553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679762553
Entity Type Individual
Full Name TRACY M RILEY
Credential LCSW
Practice Address 10151 Deerwood Park Blvd Ste 200-250
Jacksonville
FL 32256
Mailing Address 10151 Deerwood Park Blvd Ste 200-250
Jacksonville
FL 32256-0589
Practice Telephone 9047042527
Mailing Telephone 9047042527
Enumeration Date 2007-10-17
Last Update Date 2018-07-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
SW9355 FL Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
ISW 4412 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 008697300 05

Other Providers TRACY RILEY

NPI Name Taxonomy Address Enumeration
1083087852 Tracy A. Riley Clinical Nurse Specialist 2270 Mohler Dr Nw, North Canton, OH 44720-5736 2015-11-03
1255885422 Tracy Riley Social Worker 1040 N Towerline Rd, Saginaw, MI 48601-9466 2016-08-05
1962631986 Tracy Lee Riley Licensed Practical Nurse 4801 E Linwood Blvd, Kansas City, MO 64128-2226 2009-07-12
1750583597 Tracy Lynn Riley Specialist 11952 S Harlem Ave, Palos Heights, IL 60463-1167 2007-06-04

Office Location

Street Address 10151 DEERWOOD PARK BLVD STE 200-250
City JACKSONVILLE
State FL
Zip Code 32256

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265891816 Diane Gellermann Nurse Practitioner 10151 Deerwood Park Blvd Ste 200-250, Jacksonville, FL 32256-0589 2016-02-10
1902239270 Tracy Riley Counseling LLC Counselor 10151 Deerwood Park Blvd Ste 200-250, Jacksonville, FL 32256 2013-08-09
1003256215 Icats Lakeland LLC Nurse Practitioner 10151 Deerwood Park Blvd Ste 200-250, Jacksonville, FL 32256-0589 2013-07-02
1275885303 Deborah Ann Davis Nurse Practitioner 10151 Deerwood Park Blvd Ste 200-250, Jacksonville, FL 32256-0589 2012-10-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841890464 Alice Sanchez Dietitian, Registered 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 2020-11-01
1093327702 Oaktree Dental LLC Clinic/Center 14595 Philips Highway, Jacksonville, FL 32256 2020-08-24
1538787866 Tywanna Council Massage Therapist 4720 Salisbury Road #102, Jacksonville, FL 32256 2020-07-13
1275155368 Christy Orellana Social Worker 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 2020-05-11
1376175117 Diane Stover Case Manager/Care Coordinator 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 2020-02-10
1982235859 Sandra Josefina Baez Nunez Nurse Practitioner 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 2020-01-30
1205476496 Point Meadows Dental Center, Inc. Dentist 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 2020-01-15
1598324113 Dhaval Yogeshkumar Shah Dentist 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 2019-06-07
1003472499 Dade Medical, Inc. Durable Medical Equipment & Medical Supplies 9143 Philips Highway Suite 270, Jacksonville, FL 32256 2019-05-13
1003479726 Nichole Bashara Behavior Technician 8383 Baymeadows Rd, Jacksonville, FL 32256 2019-04-18
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336748193 Sophia Venditti Social Worker 2598 Post St # 1, Jacksonville, FL 32204-4256 2020-10-22
1629676093 My Journey, LLC Social Worker 13453 N Main St Ste 204, Jacksonville, FL 32218-2773 2020-10-16
1104423524 Sonya Young Social Worker 920 Bridier St, Jacksonville, FL 32206-5904 2020-10-08
1043823115 Sierra Lashonda Murray Social Worker 9246 Thunderbolt Dr, Jacksonville, FL 32221-8052 2020-08-28
1235741901 Deidra Lewis Social Worker 4480 Deerwood Lake Pkwy Unit 134, Jacksonville, FL 32216-2255 2020-08-23
1497365456 Darlene Denise Rolle- Cargill Social Worker 14050 Integra Dr Apt 420, Jacksonville, FL 32218-2592 2020-08-05
1689282626 Andrea Kristin Perkinson Social Worker 128 Plow Point Ln, Jacksonville, NC 28546-9591 2020-07-15
1255956371 Noel Roman Social Worker 11775 Carson Lake Dr W, Jacksonville, FL 32221-3812 2020-06-15
1285257535 Phaith Coaching & Counseling, LLC Social Worker 4940 Emerson St, Jacksonville, FL 32207-4963 2020-05-21
1407478613 Mara's Lighthouse Counseling Center, LLC Social Worker 6015 Morrow St E Ste 114, Jacksonville, FL 32217-2125 2020-05-11
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Competitor

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City JACKSONVILLE
Zip Code 32256

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Dataset Information

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.

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