Active NPI
Tracie Lynn Purnell, LCSW
- Clinical Social Worker
- Dover, DE
National Provider Identifier
1366789893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW017452
- Practice address
- 121 W. Loockerman
Dover, DE 19904 - Phone
- (302) 674-1397
- NPI assigned
- Jan 3, 2013
- Last updated
- Jan 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW017452 | PA | Primary |
Addresses
Primary practice location
121 W. Loockerman
Dover, DE 19904
Mailing address
707 West 13TH Street
New Castle, DE 19720
Phone (302) 598-1129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CW017452 | Other | PA | COMMONWEALTH OF PENNSYLVANIA |
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 |
|---|---|---|---|
| CW017452 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1366789893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 WEST 13TH STREET",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "19720",
"telephone_number": "302-598-1129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 W. LOOCKERMAN",
"city": "DOVER",
"state": "DE",
"postal_code": "19904",
"telephone_number": "302-674-1397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURNELL",
"first_name": "TRACIE",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-03",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW017452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF PENNSYLVANIA",
"identifier": "CW017452",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
- Psychotherapeutic Services, Inc. (Journey 1)
- Psychotherapeutic Services, Inc. (Journey III Short-Term Crisis Stabilization Unit)
- Pure Wellness of Camden, LLC
- Purepath Medical Equipment LLC
- Vineet Puri, MD
- Purpose and Healing LLC
- Karinne Nicole Pyle, OTR/L
- Shonetesha Quail, LPCMH
- Macie Quarles, MSW, LCSW-C
- Loubna M Queider
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.