Individual provider Active NPI

Tracy C. Dux, LCSW

  • Clinical Social Worker
  • Bangor, WI
National Provider Identifier
1710809504
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23025 Issued in TX
Practice address
N7354 County Road Ee
Bangor, WI 54614-8910
Phone
(214) 403-1797
NPI assigned
Jul 27, 2026
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 23025 TX Primary

Addresses

Primary practice location

N7354 County Road Ee
Bangor, WI 54614-8910

Mailing address

N7354 County Road Ee
Bangor, WI 54614-8910
Phone (214) 403-1797

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23025TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1710809504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N7354 COUNTY ROAD EE",
            "city": "BANGOR",
            "state": "WI",
            "postal_code": "546148910",
            "telephone_number": "214-403-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N7354 COUNTY ROAD EE",
            "city": "BANGOR",
            "state": "WI",
            "postal_code": "546148910",
            "telephone_number": "214-403-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUX",
        "first_name": "TRACY",
        "middle_name": "C.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "23025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, WI

Sources for this page

Verify at the official NPI Registry.