Tina Marie Brackeen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

31866 Issued in TX

Practice address

2912 Little Rd
Arlington, TX 76016-1725

Phone

(817) 457-6728

NPI assigned

May 1, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lake Arlington Baptist Church

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arlington, TX
  • NPI 1831365634
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1407022205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 ABBERMARE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015220",
            "telephone_number": "817-478-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 LITTLE RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760161725",
            "telephone_number": "817-457-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKEEN",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "31866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Boyko
• Trent Russell Boyko, M.D.
• Cheryl Boyland, LPC-S, NCC
• Deborah Jean Boyles, L.P.C.
• Olga Bozich, LPTA, MT
• Cherry L Brackens, LMSW
• Waldo P Bracy Jr., M.D.
• James Samuel Bradley, D.D.S.
• Miessa Ann Bradley
• Nakia Bradley

• Clinical Social Worker in Arlington, TX
• Providers in Arlington, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.