Jaime M Tracy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9103186-3501 Issued in UT

Practice address

1133 N Main St Ste 128
Layton, UT 84041-4830

Phone

(801) 436-7270

NPI assigned

Apr 24, 2012

Last updated

Dec 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindful Mobile Medicine LLCGroup PAC ID 1254865363, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jaimetracy@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindful Mobile Medicine LLC

  • Internal Medicine Physician
  • Midvale, UT
  • NPI 1245068626
  Medicare reassignment Care Compare group
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1548528896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 W 2200 N",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844147024",
            "telephone_number": "503-443-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N MAIN ST STE 128",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414830",
            "telephone_number": "801-436-7270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12775 SW 10th St",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970053903",
            "country_code": "US",
            "telephone_number": "503-443-0289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 Heritage Park Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840415674",
            "country_code": "US",
            "telephone_number": "801-436-7270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRACY",
        "first_name": "JAIME",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9103186-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lili Aguirre Torres
• Total Renal Care Inc (Farmington Bay Dialysis)
• Tots, PLLC
• Elizabeth Anne Totterer
• Pamela Jean Townsend, LMT
• Deshayla Tran
• Trans-Med, LLC
• Transcend Medical
• Kristen Mischelle Treanor, P.T
• Robert L Treft, M.D.

• Clinical Social Worker in Layton, UT
• Providers in Layton, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.