Individual provider Active NPI

Tracy Kim Murphy, LCSW

  • Clinical Social Worker
  • Winter Springs, FL
National Provider Identifier
1003255449
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16761 Issued in FL
Practice address
1030 Spring Villas PT
Winter Springs, FL 32708-5242
Phone
(321) 204-8033
Fax
(845) 634-1911
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW16761 FL Primary

Addresses

Primary practice location

1030 Spring Villas PT
Winter Springs, FL 32708-5242

Mailing address

1030 Spring Villas PT
Winter Springs, FL 32708-5242
Phone (321) 204-8033

Other names 1

  • Tracy Kim Biavati Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211013001208 FL Practitioner - Clinical Social Worker 7012315534 Reassigns benefits to 1 organization
I20211126000059 NY Practitioner - Clinical Social Worker 7012315534 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Che Behavioral Health Services of Florida, P.a.Group PAC ID 5698185775, 31 clinicians

Practice addresses (Care Compare)

6750 N Andrews Ave
Suite 200
Ft Lauderdale, FL 33309-2180
Phone (888) 515-3834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Che Behavioral Health Services of Florida, P.a. Clinical CurrentSince Oct 1, 2021 Accepting new patients
Knapp Street Psychiatry, PC Clinical CurrentSince Nov 1, 2021 Accepting new patients
Che Senior Psychological Services, PC Clinical CurrentSince Nov 1, 2021 Accepting new patients

Locations

6750 N Andrews Ave
Ste 200
Lauderdale Lakes, FL 33309
Phone (718) 408-5477

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Networks

  • AL HMO
  • FL HMO C-SNP
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • AL HMO D-SNP
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • FL HMO D-SNP
  • Freedom Health HMO Network
  • FL HMO
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef

Interoperability endpoints

  • Direct secure messaging: tmurphy@jawonio.medalliesdirect.net
  • Direct secure messaging: fbh.tracymurphy@141363.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1003255449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SPRING VILLAS PT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085242",
            "telephone_number": "321-204-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SPRING VILLAS PT",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085242",
            "telephone_number": "321-204-8033",
            "fax_number": "845-634-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "TRACY",
        "middle_name": "KIM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW16761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "BIAVATI",
            "middle_name": "KIM",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Springs, FL

Sources for this page

Verify at the official NPI Registry.