Active NPI
Tracey P. Eason, LMSW
- Social Worker
- Anchorage, AK
National Provider Identifier
1689428583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 198944
- Practice address
- 205 E Benson Blvd Ste 504
Anchorage, AK 99503-4019 - Phone
- (907) 795-8960
- Fax
- (800) 511-7484
- NPI assigned
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 198944 | AK | Primary |
Addresses
Primary practice location
205 E Benson Blvd Ste 504
Anchorage, AK 99503-4019
Mailing address
PO Box 90574
Anchorage, AK 99509-0574
Phone (907) 795-8960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198944 | AK | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1689428583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90574",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995090574",
"telephone_number": "907-795-8960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E BENSON BLVD STE 504",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995034019",
"telephone_number": "907-795-8960",
"fax_number": "800-511-7484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASON",
"first_name": "TRACEY",
"middle_name": "P.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-16",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AK",
"license": "198944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.