Active NPI
Tracy Liptak, LISW
- Clinical Social Worker
- Fairfield, IA
National Provider Identifier
1013099985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 06611
- Practice address
- 301 W Burlington
Fairfield, IA 52556-3242 - Phone
- (641) 472-5771
- Fax
- (641) 472-1817
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 06611 | IA | Primary |
Addresses
Primary practice location
301 W Burlington
Fairfield, IA 52556-3242
Mailing address
301 W Burlington Ave
Fairfield, IA 52556-3242
Phone (641) 472-1684
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107314000 | Other | IA | IOWA PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06611 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurse in the House, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Des Moines, IA
- NPI 1598196040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1013099985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W BURLINGTON AVE",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525563242",
"telephone_number": "641-472-1684",
"fax_number": "641-472-4609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W BURLINGTON",
"city": "FAIRFIELD",
"state": "IA",
"postal_code": "525563242",
"telephone_number": "641-472-5771",
"fax_number": "641-472-1817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPTAK",
"first_name": "TRACY",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "06611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA PLAN",
"identifier": "107314000",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, IA
- Timothy D Lantz, LMHC
- David Kent Larson, M.D.
- Susana Haydee Liberona Ouellette, NURSE
- Randall Ardell Liebe, O.D.
- Lindberg Chiropractic Clinic PC
- Nancy K Lonsdorf, M.D.
- Hannah Marie Losey, PT, DPT, ATC
- Karen S Machholzwesely, COTA
- Madison County Medical Equipment Inc
- Maharishi International University
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.