Tracy L Bane, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW6953 Issued in FL

Practice address

3201 Shamrock St S Ste 103
Tallahassee, FL 32309-3349

Phone

(850) 894-0061

Fax

(850) 894-0062

NPI assigned

May 5, 2006

Last updated

Jan 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Tracy Bane LCSW

  • Point of Service
  • Tallahassee, FL
  • NPI 1326605916
  NPD Authorized official

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1043268550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 SHAMROCK ST S STE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093349",
            "telephone_number": "850-894-0061",
            "fax_number": "850-894-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SHAMROCK ST S STE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093349",
            "telephone_number": "850-894-0061",
            "fax_number": "850-894-0062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3841A KILLEARN COURT",
            "address_purpose": "LOCATION",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32309",
            "country_code": "US",
            "telephone_number": "850-894-0061",
            "fax_number": "850-894-0062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANE",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NUMBER",
            "identifier": "Z057A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florence P Bamgbose, ARNP
• Sharon Sanford Banasiewicz, PA-C
• Kacey Anne Banaszek, LMHC
• Jennifer Vanessa Bandin, RN
• Kelly A Bane, PA-C, MPH
• Jenna Banks-Roman, PSY.D.
• Diana Banks
• Katie Lynn Bankston, CLC
• Bannerman Family Care LLC
• Catherine Bao

• Clinical Social Worker in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.