Tracy Allen Audet, LCSW LADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC6370 Issued in ME

Practice address

571 Sabattus St Ste 7
1St Floor
Lewiston, ME 04240-4156

Phone

(207) 753-0783

Fax

(207) 753-0323

NPI assigned

Apr 3, 2006

Last updated

Jun 1, 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 2

Addresses

Other identifiers 1

Other names 1

• Miss Tracy A Walker (Bradbury) Former name

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SweetserGroup PAC ID 8325946213, 138 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sweetser

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saco, ME
  • NPI 1538122445
  Medicare reassignment Care Compare group NPD
• Transitions Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1952360760
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1285696799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HEATH LN",
            "address_2": "TRACY AUDET LCSW, LADC",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103711",
            "telephone_number": "207-753-0783",
            "fax_number": "207-753-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 SABATTUS ST STE 7",
            "address_2": "1ST FLOOR",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042404156",
            "telephone_number": "207-753-0783",
            "fax_number": "207-753-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDET",
        "first_name": "TRACY",
        "middle_name": "ALLEN",
        "name_prefix": "Ms.",
        "credential": "LCSW LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "LC4081",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265120099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "WALKER (BRADBURY)",
            "middle_name": "A",
            "prefix": "MISS",
            "credential": "LCSW, LADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Associated Foot Care PA
• Assurance Residential Services L.L.C
• Jesse Lamar Atwood, DO
• Christine M Audet, LCSW
• Jesse D. Audet
• Stephanie Aung, MD
• Mitchell Auster, D.M.D.
• David Scott Austin, PSYD
• Matthew Anthony Autin, PHARM.D.
• Avalon Services LLC

• Clinical Social Worker in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.