Julie Aimee-Adele Tracy-Prieboy, LGSW, MS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BP00944404 Issued in WV

Practice address

158 Academy Dr.
Greenbrier Academy
Pence Springs, WV 24962

Phone

(304) 445-7790

NPI assigned

Aug 8, 2013

Last updated

Aug 13, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Julie Aimee-Adele Tracy Former name

Medicare fee-for-service enrollment

Enrolled in VT

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brattleboro RetreatGroup PAC ID 7012828908, 61 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Brattleboro Retreat

  • Psychiatric Hospital
  • Brattleboro, VT
  • NPI 1730185232
  Medicare reassignment Care Compare group NPD
• Brattleboro Retreat

  dba Retreat Healthcare

  • Institutional Pharmacy
  • Brattleboro, VT
  • NPI 1295947950
  NPD (past)

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1356773659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GREENBRIER ACADEMY",
            "address_2": "P.O. BOX 798",
            "city": "ALDERSON",
            "state": "WV",
            "postal_code": "24910",
            "telephone_number": "304-445-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 ACADEMY DR.",
            "address_2": "GREENBRIER ACADEMY",
            "city": "PENCE SPRINGS",
            "state": "WV",
            "postal_code": "24962",
            "telephone_number": "304-445-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY-PRIEBOY",
        "first_name": "JULIE",
        "middle_name": "AIMEE-ADELE",
        "name_prefix": "Ms.",
        "credential": "LGSW, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "BP00944404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "TRACY",
            "middle_name": "AIMEE-ADELE",
            "credential": "LGSW, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Greenbrier Academy for Girls
• Emily Landseidel, MSW
• Maureen Marko
• Chrisdena McCutchen
• Kelley Sills

• Clinical Social Worker in Pence Springs, WV
• Providers in Pence Springs, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.