Active NPI
Devin Tracey
- Clinical Social Worker
- Park City, UT
National Provider Identifier
1013662352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149.026187
- Practice address
- 900 Bitner Rd Apt B15
Park City, UT 84098-5415 - Phone
- (319) 504-7467
- NPI assigned
- Feb 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 149.026187 | IL | Primary |
Addresses
Primary practice location
900 Bitner Rd Apt B15
Park City, UT 84098-5415
Mailing address
900 Bitner Rd Apt B15
Park City, UT 84098-5415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149.026187 | IL | MD | Clinical Social Worker |
Networks
- MS PPO C-SNP
- IL HMO C-SNP
- KY PPO
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
- MS PPO D-SNP
- MS PPO
Interoperability endpoints
- devin.tracey@489656322949124.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710460800000",
"number": "1013662352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 BITNER RD APT B15",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840985415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BITNER RD APT B15",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840985415",
"telephone_number": "319-504-7467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACEY",
"first_name": "DEVIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-15",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.026187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park City, UT
- TMS Elevated
- Joseph Tooley Jr., PHARMD, MBA
- Christopher Hill Toone, ATC
- Juan Torres, DPT
- Tracey Dwyer Marriage and Family Therapist Inc.
- Tranquillity at Home - Caregiving Services
- Travel Health Vaccines Inc
- Tara Marie Kramlich Trebesch, ACMHC, IHP, CFA, CN
- Kayla Trobec, P.T., DPT
- Brandon Ellis Tullis, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.