Active NPI
Tracy Renee Lynch, LSCW
- Clinical Social Worker
- Encino, CA
National Provider Identifier
1205076650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23915
- Practice address
- 16030 Ventura Blvd
315
Encino, CA 91436-2731 - Phone
- (800) 757-4242
- NPI assigned
- Feb 25, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23915 | CA | Primary |
Addresses
Primary practice location
16030 Ventura Blvd
315
Encino, CA 91436-2731
Mailing address
400 S Main St
310
Los Angeles, CA 90013-1314
Phone (323) 314-6973
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23915 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235520000000",
"number": "1205076650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S MAIN ST",
"address_2": "310",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131314",
"telephone_number": "323-314-6973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16030 VENTURA BLVD",
"address_2": "315",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362731",
"telephone_number": "800-757-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "TRACY",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "LSCW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-25",
"last_updated": "2009-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "23915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.