Active NPI
Tracy Wheeler, LCSW
- Clinical Social Worker
- Ocoee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW25784
- Practice address
- 10125 W Colonial Dr Ste 212
Ocoee, FL 34761-4200 - Phone
- (833) 769-3524
- Fax
- (407) 232-9439
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW25784 | FL | Primary |
| Clinical Social Worker | 1041C0700X | I.2204147-SUPV | OH |
Addresses
Primary practice location
10125 W Colonial Dr Ste 212
Ocoee, FL 34761-4200
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Other practice location 1
4661 Sawmill Rd Ste 3
Columbus, OH 43220-6123
Phone (614) 364-4680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, FL, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
47 High St
Suite 7
Medford, MA 02155-3808
47 High St
Suite 7
Medford, MA 02155-4676
4800 N Scottsdale Rd
Scottsdale, AZ 85251-7630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW25784 | FL | MD | Clinical Social Worker |
| I.2204147-SUPV | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Clinical | Current | Accepting new patients |
| Personal Recovery Network LLC | Current | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
10125 W Colonial Dr
Ste 212
Ocoee, FL 34761
Phone (407) 753-7441
25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468
25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520
484 County Line Rd W
Ste 130
Westerville, OH 43082
Phone (614) 392-5336
631 Copeland Mill Rd
Ste B
Westerville, OH 43081
Phone (614) 392-2812
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1629685391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N SCOTTSDALE RD STE 2500",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10125 W COLONIAL DR STE 212",
"city": "OCOEE",
"state": "FL",
"postal_code": "347614200",
"telephone_number": "833-769-3524",
"fax_number": "407-232-9439"
}
],
"practiceLocations": [
{
"address_1": "4661 Sawmill Rd Ste 3",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432206123",
"country_code": "US",
"telephone_number": "614-364-4680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHEELER",
"first_name": "TRACY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-28",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW25784",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.2204147-SUPV",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.