Tracey Lazzell, CSW-PIP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6598 Issued in SD

Practice address

113 Comanche Rd
Fort Meade, SD 57741-1002

Phone

(605) 720-7485

NPI assigned

Nov 24, 2020

Last updated

May 29, 2024By the provider in NPPES

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

• Tracey Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1235733841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 COMANCHE RD",
            "city": "FORT MEADE",
            "state": "SD",
            "postal_code": "577411002",
            "telephone_number": "605-347-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 COMANCHE RD",
            "city": "FORT MEADE",
            "state": "SD",
            "postal_code": "577411002",
            "telephone_number": "605-720-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZZELL",
        "first_name": "TRACEY",
        "credential": "CSW-PIP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2024-05-29",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SD",
            "license": "6598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "MARTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Ladwig
• Adriana Lalicker
• Kristi Langerak, M.S., R.D.N
• Shawna Lynn Larsh, RN
• Robin Lawrence
• Ryan S Lee, M.D.
• Jansen Legreid, PH.D.
• Michael David Lemon, PHARMD
• Megan Leonhardt
• Sandra Limerick, CNP

• Clinical Social Worker in Fort Meade, SD
• Providers in Fort Meade, SD by specialty
• Clinical Social Worker in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.