Individual provider Active NPI

Tracyne Marie Caumartin, MSW,LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1285604710
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2005025567 Issued in MO
Practice address
1531 Washington Ave
9F
Saint Louis, MO 63103-1814
Phone
(314) 436-0313
Fax
(248) 745-0396
NPI assigned
Jan 26, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2005025567 MO Primary
Clinical Social Worker 1041C0700X 6801067626 MI

Addresses

Primary practice location

1531 Washington Ave
9F
Saint Louis, MO 63103-1814

Mailing address

1531 Washington Ave
9F
Saint Louis, MO 63103-1814
Phone (314) 436-0313

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801067626MIMDClinical Social Worker
2005025567MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Residential Psychiatric Services, Inc. Clinical PastSince Jun 12, 2012 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285604710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 WASHINGTON AVE",
            "address_2": "9F",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031814",
            "telephone_number": "314-436-0313",
            "fax_number": "248-745-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 WASHINGTON AVE",
            "address_2": "9F",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031814",
            "telephone_number": "314-436-0313",
            "fax_number": "248-745-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUMARTIN",
        "first_name": "TRACYNE",
        "middle_name": "MARIE",
        "credential": "MSW,LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005025567",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801067626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.