Tracey M. Jennings, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TRACEY M. JENNINGS, LCSW, LLC

Practice address

8516 E 101St St Ste E
Tulsa, OK 74133-7035

Phone

(918) 902-3848

NPI assigned

Mar 17, 2021

Organization subpart

No

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

Authorized official

Name

Tracey M Jennings, LCSW, LADCNPI 1124346317

Title

President

Phone

(918) 852-1286

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracey Middleton Jennings, MSW, LCSW, LADC

  • Clinical Social Worker
  • Broken Arrow, OK
  • NPI 1124346317
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1376128702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8516 E 101ST ST STE E",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337035",
            "telephone_number": "918-902-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8516 E 101ST ST STE E",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337035",
            "telephone_number": "918-902-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY M. JENNINGS, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-852-1286",
        "authorized_official_credential": "LCSW, LADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jnisha E Townsend, LPN
• Johnna Townsend
• Raymond E Townsend, MD
• Daniel Kent Towsley, M.D.
• Toxcode Diagnostics LLC
• Emma Diane Tracy, RSS
• Rachel Elizabeth Tracy, M.S.
• Victoria Leigh Tracy, PH.D.
• Jawad Trad, D.O
• Tala Trad

• Clinical Social Worker in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.