Tracy Schrunk, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LCSW-16391 Issued in AZ

Practice address

1277 N Rhinestone Dr
Prescott, AZ 86301-6802

Phone

(801) 376-6298

Fax

(186) 643-1878

NPI assigned

Oct 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1194277202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W LEROUX ST UNIT H8",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034265",
            "telephone_number": "801-376-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 N RHINESTONE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016802",
            "telephone_number": "801-376-6298",
            "fax_number": "186-643-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRUNK",
        "first_name": "TRACY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LCSW-16391",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "294678-3501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terra Dawn Schmidt, ATC/LAT
• David Schmuckler, L.C.S.W.
• Chrystal D Schoeder, PHD
• Janet Schoen, CNS
• Jordan Marie Schroeder
• John M Schuderer, LISAC LPC
• Mathew Schuh
• Janette Schulz, LMSW
• Kara Schumann, LPC
• Ann Leah Schwab

• Counselor in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.