Individual provider Active NPI

Traci Milner, LSW

  • Social Worker
  • New Lexington, OH
National Provider Identifier
1306236732
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.1450807 Issued in OH
Practice address
122 W Broadway St Ste a
New Lexington, OH 43764-1001
Phone
(740) 960-0380
NPI assigned
Jan 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1450807 OH Primary

Addresses

Primary practice location

122 W Broadway St Ste a
New Lexington, OH 43764-1001

Mailing address

5439 Burkhardt Rd
Dayton, OH 45431-2111
Phone (740) 960-0380

Other practice location 1

2845 Bell St
Zanesville, OH 43701-1720
Phone (740) 455-4132

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

LicenseStateTypeSpecialty
S.1450807OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Group Home, LLC CurrentSince Oct 8, 2025 Accepting new patients
Phoenix Group Home, LLC PastSince Apr 9, 2023 Accepting new patients

Locations

117 W Main St
Ste 107
Lancaster, OH 43130
Phone (740) 689-1890

122 W Broadway St
Ste A
New Lexington, OH 43764
Phone (740) 960-0380

5439 Burkhardt Rd
Riverside, OH 45431
Phone (740) 918-9616

379 Adair Ave
Zanesville, OH 43701
Phone (740) 297-6019

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pathihc/r4/

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1306236732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 BURKHARDT RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454312111",
            "telephone_number": "740-960-0380",
            "fax_number": "740-588-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W BROADWAY ST STE A",
            "city": "NEW LEXINGTON",
            "state": "OH",
            "postal_code": "437641001",
            "telephone_number": "740-960-0380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2845 Bell St",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437011720",
            "country_code": "US",
            "telephone_number": "740-455-4132",
            "fax_number": "740-588-6452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILNER",
        "first_name": "TRACI",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1450807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lexington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.