Tracy Gullage, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW108187 Issued in CA

Practice address

501 Marin St Ste 225
Thousand Oaks, CA 91360-4301

Phone

(818) 635-0352

NPI assigned

Aug 20, 2025

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": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1679450605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23373 BASSETT ST",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072402",
            "telephone_number": "818-635-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARIN ST STE 225",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604301",
            "telephone_number": "818-635-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLAGE",
        "first_name": "TRACY",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW108187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Guglielmelli, M.A.
• Kylie Guglielmetti, BA
• Wendy Guillen
• Rebecca Meilssa Guinn, MPT
• Lisa Ann Guiteras, OTR/L, CHT
• Nazanin Izadpanah Gunn, M.D., M.H.A.
• Abigael Gunther, DO
• Rishabh Gupta, MD
• Michael Stuart Gurvey, MD
• Crystal Woidyla Guth, LMFT

• Clinical Social Worker in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.