Tracy Miksell, LISW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

02517 Issued in IA

Practice address

215 SE Main St
Grimes, IA 50111-2192

Phone

(515) 490-1921

Fax

(515) 986-5902

NPI assigned

Sep 28, 2006

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

Other names 1

• Dr. Tracy A Miksell-Branch Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1316039423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SE MAIN ST",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501112192",
            "telephone_number": "515-490-1921",
            "fax_number": "515-986-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SE MAIN ST",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501112192",
            "telephone_number": "515-490-1921",
            "fax_number": "515-986-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKSELL",
        "first_name": "TRACY",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "02517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "MIKSELL-BRANCH",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Social Worker in Grimes, IA
• Providers in Grimes, IA by specialty
• Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.