TRACY WICK (NPI# 1699106260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699106260 |
| Entity Type | Individual |
| Full Name | TRACY WICK |
| Credential | MA, LPC |
| Practice Address |
1500 N 34th St Suite 200 Superior WI 54880-4477 |
| Mailing Address |
1401 E 1st St Duluth MN 55805-2407 |
| Practice Telephone | 7153928216 |
| Practice Fax Number | 7153926055 |
| Mailing Telephone | 2187284491 |
| Mailing Fax Number | 2187284404 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2015-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 1966-226 | WI | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
5893-125 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174617203 | Tracy Katherine Wick | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-03 |
| Street Address |
1500 N 34TH ST SUITE 200 |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-4477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699871756 | Steven A Engleson | Counselor | 1500 N 34th St, Suite 200, Superior, WI 54880-4477 | 2006-09-16 |
| 1427539840 | Megan Eriika Shipley | Social Worker | 1500 N 34th St, Superior, WI 54880-4477 | 2018-08-23 |
| 1457893711 | Justin Schmiesing | Case Manager/Care Coordinator | 1500 N 34th St, Suite 200, Superior, WI 54880-4477 | 2016-11-17 |
| 1992154108 | Vanessa Lee | Case Manager/Care Coordinator | 1500 N 34th St, Suite 200, Superior, WI 54880-4477 | 2016-06-08 |
| 1063876225 | Karen Olson | Case Manager/Care Coordinator | 1500 N 34th St, Superior, WI 54880-4477 | 2016-04-13 |
| 1669847091 | Ashley Webber | Case Manager/Care Coordinator | 1500 N 34th St, Superior, WI 54880-4477 | 2015-12-10 |
| 1366818304 | Daniel Hatfield | Case Manager/Care Coordinator | 1500 N 34th St, Superior, WI 54880-4477 | 2015-08-13 |
| 1023497500 | Lesa L Dalbec | Social Worker | 1500 N 34th St, Suite 200, Superior, WI 54880-4477 | 2015-05-29 |
| 1942696026 | Rachelle Hills | Case Manager/Care Coordinator | 1500 N 34th St, Suite 200, Superior, WI 54880-4477 | 2015-04-15 |
| 1790171502 | Diane Menuey | Case Manager/Care Coordinator | 1500 N 34th St, Suite 200, Superior, WI 54880-4477 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255754156 | Robin Leigh Wheaton | Counselor | 33 N 25th St E, Superior, WI 54880-5269 | 2014-01-28 |
| 1699871756 | Steven A Engleson | Counselor | 1500 N 34th St, Suite 200, Superior, WI 54880-4477 | 2006-09-16 |
| 1124586961 | Jacquelyn K. Lindberg | Counselor | 1500 N 34th St Ste 200, Superior, WI 54880-4477 | 2019-03-12 |
| 1467859637 | Paige M Konrad | Counselor | 1500 N 34th St Ste 200, Superior, WI 54880-4477 | 2014-12-03 |
| 1033427836 | Kathryn Everson | Counselor | 1500 N 34th St Ste 200, Superior, WI 54880-4477 | 2010-09-15 |
| 1396063210 | Kathryn Akright | Counselor | 1500 N 34th St, Superior, WI 54880-4477 | 2010-05-17 |
| 1427208784 | Bridgeport Counseling | Counselor | 2231 Catlin Ave, Room #310, Superior, WI 54880-5137 | 2008-09-23 |
| 1083883128 | James M Geidner | Counselor | 1500 N 34th St, Suite 300, Superior, WI 54880-4477 | 2008-02-22 |
| 1548445778 | Timothy Lloyd Panula | Counselor | 2231 Catlin Ave, Suite #310, Superior, WI 54880-5137 | 2008-01-07 |
| 1164607305 | Katherine Marie Panula | Counselor | 2231 Catlin Ave, Suite #310, Superior, WI 54880-5137 | 2008-01-07 |
| Find all providers in SUPERIOR | ||||
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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.