MS. TRACY WEATHERFORD MCNEELY (NPI# 1952433096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952433096 |
| Entity Type | Individual |
| Full Name | MS. TRACY WEATHERFORD MCNEELY |
| Other Name | MISS TRACY WEATHERFORD |
| Credential | LCSW |
| Practice Address |
4820 Lake St Lake Charles LA 70605-6010 |
| Mailing Address |
Po Box 4591 Lake Charles LA 70606-4591 |
| Practice Telephone | 3373107378 |
| Practice Fax Number | 3373107382 |
| Mailing Telephone | 3373107378 |
| Mailing Fax Number | 3373107382 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4059 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LICENSE-SOCIAL WORKER | 4059 | 01 |
| Street Address |
4820 LAKE ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-6010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912989443 | Janardana P. Kaimal | Internal Medicine | 4820 Lake St, Suite 2, Lake Charles, LA 70605-6010 | 2005-11-18 |
| 1740323823 | Janardana P. Kaimal, Md, LLC | Internal Medicine | 4820 Lake St, Lake Charles, LA 70605-6010 | 2007-02-15 |
| 1295878346 | Sleep Disorder Center of Louisiana, LLC | Clinic/Center | 4820 Lake St, Lake Charles, LA 70605-6010 | 2007-02-15 |
| 1699862722 | Michelle Zimmerman | Nurse Practitioner | 4820 Lake St, Lake Charles, LA 70605-6010 | 2006-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| 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 |
|---|---|---|---|---|
| 1417567041 | Dawn Emb Sahualla | Social Worker | 2440 Crawford Dr, Lake Charles, LA 70611-4654 | 2020-08-07 |
| 1740829621 | Royal Psychological Services, LLC | Social Worker | 127 W Broad St Ste 800, Lake Charles, LA 70601-4297 | 2019-12-25 |
| 1366007536 | Gwendolyn Marie Smith | Social Worker | 3535 Knight Ln Trlr 8, Lake Charles, LA 70605-1233 | 2019-05-03 |
| 1821564014 | Laryn B Abshire | Social Worker | 3601 Gerstner Memorial Blvd, Lake Charles, LA 70607-3231 | 2018-10-16 |
| 1992242036 | Brenna Thoma Jacobs | Social Worker | 425 Kingsley St, Lake Charles, LA 70601-3533 | 2017-01-27 |
| 1235674623 | Julie Miller | Social Worker | 751 E. Bayou Pines Dr., Suite C, Lake Charles, LA 70601 | 2016-12-21 |
| 1457714628 | Theresa Ivey | Social Worker | 6823 Meadow Ridge Ln, Lake Charles, LA 70605-0445 | 2016-04-04 |
| 1750766630 | Mark Morris | Social Worker | 314 W Mcneese St, Lake Charles, LA 70605-5604 | 2015-07-21 |
| 1699165928 | Kimberly Moton | Social Worker | 4235 Pine Shadows Ln, Lake Charles, LA 70615-2992 | 2015-01-26 |
| 1922436120 | Dianna Flowers Fruge | Social Worker | 2115 Fitzenreiter Rd, Sbhc, Lake Charles, LA 70601-1139 | 2013-10-24 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
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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.