Tracey Smith

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW126502 Issued in PA

Practice address

13 Pheasant Dr
Lebanon, PA 17046-8092

Phone

(717) 580-6049

NPI assigned

Oct 18, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1598547085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PHEASANT DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170468092",
            "telephone_number": "717-580-6049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PHEASANT DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170468092",
            "telephone_number": "717-580-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW126502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Smith, C.S.F.A.
• Janice Catherine Smith, MS
• Jessica N Smith, PA-C
• Kaitlyn Grace Smith
• Roy A Smith Jr., PHD
• Candace Snavely, B.S.
• Dianne Snavely
• Nicholas Snider
• Sha'Rron Snowden
• Taryn Snyder Calhoun

• Social Worker in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.