Wendy Tracy, MSSA, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0700097-SUPV Issued in OH

Practice address

6370 Wise Ave NW
North Canton, OH 44720-7350

Phone

(330) 493-0083

NPI assigned

Jul 18, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pathway Caring for Childen

  • Case Management Agency
  • North Canton, OH
  • NPI 1285734277
  NPD (past)
• Pathway Caring for Children

  • Community/Behavioral Health Agency
  • North Canton, OH
  • NPI 1912161720
  NPD (past)

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1124282124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 WISE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207350",
            "telephone_number": "330-493-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6370 WISE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207350",
            "telephone_number": "330-493-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "WENDY",
        "name_prefix": "Mrs.",
        "credential": "MSSA, LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0700097-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin M Toth, PTA
• Krista E Toth
• Lawrence E Toth, PTA
• Amy Town, MD
• Audree Townsend, LSW
• Cindy Tran, MD
• Travelin Mercies LLC
• Nicole E Travis, APRN-CNP
• Kendra Trease, LPTA
• Tina Treglia, COTA/L

• Clinical Social Worker in North Canton, OH
• Providers in North Canton, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.