Active NPI
Tracy Trattner, LCSW
- Clinical Social Worker
- Morganville, NJ
National Provider Identifier
1447596861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05524500
- Practice address
- 705 Ginesi Dr
Morganville, NJ 07751-1235 - Phone
- (732) 547-9136
- NPI assigned
- Dec 13, 2012
- Last updated
- Sep 12, 2014
- 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 | 44SC05524500 | NJ | Primary |
Addresses
Primary practice location
705 Ginesi Dr
Morganville, NJ 07751-1235
Mailing address
104 Rico Dr N
Morganville, NJ 07751-2019
Phone (732) 970-9445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410480000000",
"number": "1447596861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 RICO DR N",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077512019",
"telephone_number": "732-970-9445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 GINESI DR",
"city": "MORGANVILLE",
"state": "NJ",
"postal_code": "077511235",
"telephone_number": "732-547-9136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRATTNER",
"first_name": "TRACY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-13",
"last_updated": "2014-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05524500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morganville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.