Traci Ann Lenzi, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60285908 Issued in WA

Practice address

6401 Rosemount Dr NW
Gig Harbor, WA 98335-6628

Phone

(206) 730-2162

NPI assigned

Sep 4, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2023 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1710469929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 ROSEMOUNT DR NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356628",
            "telephone_number": "206-730-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 ROSEMOUNT DR NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983356628",
            "telephone_number": "206-730-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENZI",
        "first_name": "TRACI",
        "middle_name": "ANN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60285908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Parm Lee, LMHCA
• Vicky H Lee, M.D.
• Suzanne Sexton Leichman, MA, ARNP,BC
• /Eva Marie Lemmons, LMP
• Sharon Lemoine
• Robert Howard Lerman, M.D.
• Megan N Lesh, OT
• Zachary Lester, D.M.D.
• Vincent M. Leverett, M.D.
• Christina Suarez Leveridge, LBA

• Clinical Social Worker in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.