Organization Active NPI

Tracy Horn & Assoc LLC

  • Clinical Social Worker
  • St Petersburg, FL
National Provider Identifier
1700372968
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW10839 Issued in FL
Legal business name
TRACY HORN & ASSOC LLC
Practice address
1700 Park St N
St Petersburg, FL 33710-4356
Phone
(727) 308-8203
NPI assigned
Jul 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracy Horn, LCSW
Title
Owner
Phone
(727) 308-8203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW10839 FL Primary

Addresses

Primary practice location

1700 Park St N
St Petersburg, FL 33710-4356

Mailing address

1700 Park St N
St Petersburg, FL 33710-4356
Phone (727) 308-8203

Other practice location 1

900 Central Ave # 302
St Petersburg, FL 33705-1647
Phone (727) 308-8203

Other identifiers 1

IdentifierTypeStateIssuer
00000OtherFLNO OTHER NUMBERS MEDICARE PENDING

National Provider Directory

National Provider Directory

Locations

900 Central Ave
#302
St Petersburg, FL 33705
Phone (727) 308-8203

900 Central Ave
Ste 109
St Petersburg, FL 33705
Phone (727) 308-8203

535 Central Ave
Ste 408
St Petersburg, FL 33701
Phone (727) 308-8203

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1700372968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337104356",
            "telephone_number": "727-308-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337104356",
            "telephone_number": "727-308-8203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Central Ave # 302",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337051647",
            "country_code": "US",
            "telephone_number": "727-308-8203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRACY HORN & ASSOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-308-8203",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO OTHER NUMBERS MEDICARE PENDING",
            "identifier": "00000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.