Active NPI
Traci Milner, LSW
- Social Worker
- New Lexington, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1450807
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| S.1450807 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Group Home, LLC | Current | Accepting new patients | |
| Phoenix Group Home, LLC | Past | 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
- 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.
-
- Community/Behavioral Health Agency
- Portsmouth, OH
- NPI 1083146013
-
- Substance Abuse Rehabilitation Facility
- Cincinnati, OH
- NPI 1336654854
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.