Tracy Joan Gregory
Individual provider Active NPI Social Worker · Sioux Falls, SD
NPI 1104658384 · NPPES record last updated Aug 16, 2024
Key facts
- NPI
- 1104658384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 123634 (IA)
- Practice address
- 2501 W 22ND St
Sioux Falls, SD 57105-1305 - Phone
- (605) 336-3230
- NPI assigned
- Aug 16, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123634 | IA | MD | Social Worker |
| 6482 | SD | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6482 | SD | |
| Social Worker | 104100000X | 123634 | IA | Yes |
Addresses
Primary practice location
2501 W 22ND St
Sioux Falls, SD 57105-1305
Mailing address
2501 W 22ND St
Sioux Falls, SD 57105-1305
Other providers in Sioux Falls, SD
- Jodie Greer
- Greg E Brostad, LLC
- Alex Joseph Greger
- Drew Gregor
- Christopher Gregory
- Lezlee Greguson-Lund
- Leslie A Greguson
- John F Grehan
- Jacquelyn E. Grev
- Mackelle Renae Grevengoed
All providers in Sioux Falls, SD · Social Worker in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.