Traci L. Penrod-McCormick, LCSW, LIMHP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1110 1327 3557 Issued in NE

Practice address

820 S 75TH St
Omaha, NE 68114-4623

Phone

(402) 391-2477

Fax

(402) 397-4268

NPI assigned

Mar 23, 2007

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

Other names 1

• Traci L. Penrod-McCormick Other name

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1194842211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S 75TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144623",
            "telephone_number": "402-391-2477",
            "fax_number": "402-397-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S 75TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144623",
            "telephone_number": "402-391-2477",
            "fax_number": "402-397-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENROD-MCCORMICK",
        "first_name": "TRACI",
        "middle_name": "L.",
        "credential": "LCSW, LIMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1110 1327 3557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "PENROD-MCCORMICK",
            "middle_name": "L.",
            "credential": "LCSW, LIMHP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James Pennington
• Marcia L Pennington, PA
• Martavius C Pennington
• Gregory T Penny, M.D.
• Katherine E. Penny, D.O.
• Morgan Lynn Penry, MD
• Alexa Pentzien
• Carlyn G. Pentzien, APRN
• David Peoples-Pruitt
• Eliza Lynn Peoples, LPN

• Clinical Social Worker in Omaha, NE
• Providers in Omaha, NE by specialty
• Clinical Social Worker in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.