Tracy Louise Humphrey, MA, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3970 Desoto Ave
McCord Hall, 219
Memphis, TN 38125

Phone

(901) 351-5115

NPI assigned

Oct 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1023528643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 HUNTER RD N",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386728719",
            "telephone_number": "901-351-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 DESOTO AVE",
            "address_2": "MCCORD HALL, 219",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38125",
            "telephone_number": "901-351-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "TRACY",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "MA, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimbra W Humerickhouse, RDH
• Humility Health Services LLC
• Hummingbird Transport LLC
• Donya Bernee Humphrey, PHARMD
• Kyle Benjamin Humphrey, MD
• Yvette Humphrey, DNP,PMHNP-BC, FNP-BC
• Humphreys Family Practice Clinic
• William E Humphries III, M.D
• Andrew James Hungerford, MD
• Treneise Hunt-Smith, DNP, MSN, FNP-C

• Social Worker in Memphis, TN
• Providers in Memphis, TN by specialty
• Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.