Individual provider Active NPI

Tracy Lynn Newman, LCSW

  • Clinical Social Worker
  • Melbourne, FL
National Provider Identifier
1093320707
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW17859 Issued in FL
Practice address
1299 Bedford Dr Ste B2
Melbourne, FL 32940-1900
Phone
(321) 622-8104
Fax
(321) 547-4046
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW17859 FL Primary

Addresses

Primary practice location

1299 Bedford Dr Ste B2
Melbourne, FL 32940-1900

Mailing address

1299 Bedford Dr Ste B2
Melbourne, FL 32940-1900
Phone (321) 622-8104

Other names 1

  • Mrs. Tracy Lynn Trowbridge Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Melbourne

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220222000088 FL Practitioner - Clinical Social Worker 9931593761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundations Counseling LLCGroup PAC ID 6305230137, 4 clinicians

Practice addresses (Care Compare)

1370 Bedford Dr
Suite 102
Melbourne, FL 32940-1993
Phone (321) 622-8104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Foundations Counseling, LLC. CurrentSince Oct 21, 2021 Accepting new patients

Locations

4875 N Wickham Rd
Ste 105
Melbourne, FL 32940

1299 Bedford Dr
Ste B2
Melbourne, FL 32940
Phone (321) 622-8104

1299 Bedford Dr
Melbourne, FL 32940
Phone (321) 622-8104

1370 Bedford Dr
Ste 102
Melbourne, FL 32940
Phone (321) 622-8104

Interoperability endpoints

  • Direct secure messaging: tracynewman@tdh.allscriptsdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1093320707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 BEDFORD DR STE B2",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401900",
            "telephone_number": "321-622-8104",
            "fax_number": "321-547-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 BEDFORD DR STE B2",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401900",
            "telephone_number": "321-622-8104",
            "fax_number": "321-547-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW17859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Melbourne",
            "affiliation": "N",
            "address_1": "1299 Bedford Dr Ste B2",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329401900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "TROWBRIDGE",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "RCSWI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.