Active NPI
Laura Kaplan Tracy, M.S.W.
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1407175474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LICSW L10200370
- Practice address
- 5225 Connecticut Ave NW
Suite 214
Washington, DC 20015-1813 - Phone
- (202) 363-8184
- Fax
- (202) 363-8367
- NPI assigned
- May 28, 2010
- 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 | LICSW L10200370 | DC | Primary |
Addresses
Primary practice location
5225 Connecticut Ave NW
Suite 214
Washington, DC 20015-1813
Mailing address
5225 Connecticut Ave NW
Suite 214
Washington, DC 20015-1813
Phone (202) 363-8184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 31, 2017 through Mar 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICSW L10200370 | DC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Progressive Development | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275004800000",
"number": "1407175474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 CONNECTICUT AVE NW",
"address_2": "SUITE 214",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200151813",
"telephone_number": "202-363-8184",
"fax_number": "202-363-8184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 CONNECTICUT AVE NW",
"address_2": "SUITE 214",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200151813",
"telephone_number": "202-363-8184",
"fax_number": "202-363-8367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "LAURA",
"middle_name": "KAPLAN",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-28",
"last_updated": "2010-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LICSW L10200370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.