Tracy Hacker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 12135 Issued in FL

Practice address

1614 Palm Way
Largo, FL 33771-3926

Phone

(727) 437-6038

NPI assigned

Jan 20, 2015

Last updated

May 21, 2020By 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 FL

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Transformative Healthcare Solutions IncGroup PAC ID 8921337973, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Transformative Healthcare Solutions Inc

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1477114031
  Medicare reassignment Care Compare group NPD
• Mental Health Center of Florida PA

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1679021414
  Medicare reassignment NPD
• Transformative Healthcare Solutions Central LLC

  • Clinical Psychologist
  • Orange City, FL
  • NPI 1407680002
  Medicare reassignment NPD
• Transformative Healthcare Solutions East LLC

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1861227993
  Medicare reassignment NPD
• Transformative Healthcare Solutions Gold Coast LLC

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1720814536
  Medicare reassignment NPD
• Transformative Healthcare Solutions North LLC

  • Clinical Psychologist
  • Jacksonville, FL
  • NPI 1205661337
  Medicare reassignment NPD
• Transformative Healthcare Solutions South LLC

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1265265193
  Medicare reassignment NPD
• Transformative Healthcare Solutions West LLC

  • Clinical Psychologist
  • Tampa, FL
  • NPI 1700610508
  Medicare reassignment NPD
• Pro Performance Physical Therapy LLC

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1215598529
  NPD (past)

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1699164251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SKYLINE DR",
            "address_2": "STE 1",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321594592",
            "telephone_number": "352-451-1521",
            "fax_number": "352-431-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 PALM WAY",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713926",
            "telephone_number": "727-437-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKER",
        "first_name": "TRACY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 12135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lynn Guzzardi, MPAS
• Karin Eileen Guzzle, PHARMD
• GV Largo, Inc. (Grand Villa of Largo)
• Erin Nicole Gwyn, MS,MPH
• Kori Hacker, PTA
• Samantha Hafner, LCSW
• Teri Ann Hagan, M.D.
• Laura Elizabeth Hagerty, DDS
• Danielle Nicole Hahn, COTA
• Richard Joseph Hairston, MD

• Clinical Social Worker in Largo, FL
• Providers in Largo, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.