Tracy Renee Acker, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10511 Issued in MN

Practice address

902 Highway 15 S
Ste 200
Hutchinson, MN 55350-3506

Phone

(320) 587-4127

Fax

(320) 587-3886

NPI assigned

Feb 22, 2009

Last updated

Feb 22, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Willow Lake Mental Health Center

  • Clinical Social Worker
  • Hutchinson, MN
  • NPI 1063738508
  NPD (past)

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

{
    "created_epoch": "1235260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235260800000",
    "number": "1245470863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 HIGHWAY 15 S",
            "address_2": "STE 200",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553503506",
            "telephone_number": "320-587-4127",
            "fax_number": "320-587-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 HIGHWAY 15 S",
            "address_2": "STE 200",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553503506",
            "telephone_number": "320-587-4127",
            "fax_number": "320-587-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKER",
        "first_name": "TRACY",
        "middle_name": "RENEE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-22",
        "last_updated": "2009-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "10511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acc Midwest Transportation LLC
• Actively Living Life Inc
• Adam Sarff, Ma, LMFT, LLC (Keystone Counseling and Consulting)
• Adapthealth Minnesota LLC
• Aegis Group Practice LLC
• James E. Allen, M.D.

• Clinical Social Worker in Hutchinson, MN
• Providers in Hutchinson, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.