Tracie Herold LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TRACIE HEROLD LCSW, LLC

Practice address

1240 Clairmont Rd Ste 207
Decatur, GA 30030-1254

Phone

(678) 681-5111

NPI assigned

Mar 25, 2019

Organization subpart

No

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

Authorized official

Name

Tracie Herold, LCSWNPI 1841602430

Title

Owner

Phone

(678) 681-5111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracie Herold, LCSW

  • Clinical Social Worker
  • Decatur, GA
  • NPI 1841602430
  NPD (past) Authorized official

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1063972057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 COOLWATER CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331809",
            "telephone_number": "678-681-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 CLAIRMONT RD STE 207",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301254",
            "telephone_number": "678-681-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACIE HEROLD LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "HEROLD",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-681-5111",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Sleep Diagnostics, Inc.
• Veronica Tovar
• Louis P Towles III
• Laura Townsend, CCC-SLP
• Lewis Franklin Townsend, M.D.
• Anna Marie Trad, PH.D.
• Tanya J Trail, CPM
• Anthony H Tramma, M.P.T.
• Cuong Van Tran, D.C
• Kelvin Tran, RPH

• Clinical Social Worker in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.