Individual provider Active NPI

Tracy Trauscht, LCSW

  • Clinical Social Worker
  • Highland Park, IL
National Provider Identifier
1497170781
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.010191 Issued in IL
Practice address
735 Saint Johns Ave
#100
Highland Park, IL 60035-4649
Phone
(312) 806-1874
NPI assigned
Feb 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.010191 IL Primary

Addresses

Primary practice location

735 Saint Johns Ave
#100
Highland Park, IL 60035-4649

Mailing address

333 Elm St
Glenview, IL 60025-4910
Phone (312) 806-1874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 12, 2025 through Jan 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149.010191ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1497170781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 ELM ST",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254910",
            "telephone_number": "312-806-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 SAINT JOHNS AVE",
            "address_2": "#100",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600354649",
            "telephone_number": "312-806-1874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUSCHT",
        "first_name": "TRACY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.010191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.