MS. TRACY ELISSA LEW WONG (NPI# 1750922647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750922647 |
| Entity Type | Individual |
| Full Name | MS. TRACY ELISSA LEW WONG |
| Credential | LCSW |
| Practice Address |
2308 J St Ste D Sacramento CA 95816-4718 |
| Mailing Address |
9630 Bruceville Rd Ste 106 Elk Grove CA 95757-5512 |
| Practice Telephone | 9164027257 |
| Mailing Telephone | 9164027257 |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
74636 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821177239 | Tracy Wong | Optometrist | 2101 Rosecrans Ave, El Segundo, CA 90245-4749 | 2006-11-04 |
| 1841727179 | Tracy May Wong | Pharmacist | 1843 S La Cienega Blvd, Los Angeles, CA 90035-4603 | 2017-05-17 |
| 1851689814 | Tracy A Wong | Social Worker | 1 Boston Medical Ctr Pl, Boston, MA 02118-2908 | 2011-07-12 |
| 1245554831 | Tracy Yick Wong | Dental Hygienist | 411 4th St, San Rafael, CA 94901-5716 | 2010-03-25 |
| 1528237963 | Tracy Wong | Speech-Language Pathologist | 423 Locust St, San Francisco, CA 94118-1844 | 2008-02-28 |
| 1083703268 | Tracy Wong | Pharmacist | 1200 El Camino Real, Medical Office Building, 4th Floor, Room 4-9965, South San Francisco, CA 94080-3208 | 2006-10-12 |
| Street Address |
2308 J ST STE D |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-4718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194827428 | Nancy Elizabeth Johnston | Marriage & Family Therapist | 2308 J St Ste D, Sacramento, CA 95816-4718 | 2006-09-05 |
| 1992299127 | Opus Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 2308 J St Ste D, Sacramento, CA 95816-4718 | 2018-06-20 |
| 1205103082 | Jason Katz | Counselor | 2308 J St Ste D, Sacramento, CA 95816-4718 | 2011-11-22 |
| 1932235413 | Jeannette Christine Wilson | Counselor | 2308 J St Ste D, Sacramento, CA 95816-4718 | 2007-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| 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 |
|---|---|---|---|---|
| 1053928606 | Nor Cal Trauma Healing Center | Social Worker | 6 Godello Ct, Sacramento, CA 95833-4400 | 2020-09-28 |
| 1023623980 | Heather Woodford | Social Worker | 3101 I St # 203, Sacramento, CA 95816-4421 | 2020-09-08 |
| 1629686670 | Kelvin Baker | Social Worker | 5511 C St, Sacramento, CA 95819-2329 | 2020-07-16 |
| 1033737192 | Kama Brockmann | Social Worker | 2565 14th St, Sacramento, CA 95818-2242 | 2020-07-06 |
| 1972120780 | Lavonne Ricks | Social Worker | 249 Delta Leaf Way, Sacramento, CA 95838-1869 | 2020-06-26 |
| 1366075111 | Michael Swauger | Social Worker | 3240 Arden Way Ste 105, Sacramento, CA 95825-2015 | 2020-02-20 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604527 | Michael Avriette | Social Worker | 2830 27th St, Sacramento, CA 95818-3222 | 2019-11-25 |
| 1649826504 | Psynergy Programs, Inc. | Social Worker | 9951 Horn Rd Ste B, Sacramento, CA 95827-1955 | 2019-08-15 |
| 1669025219 | Elizabeth E. Wetzel | Social Worker | 1720 Capitol Ave Ste 201, Sacramento, CA 95811-5187 | 2019-07-23 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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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.