Kerri Leanne Tracy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 23681 Issued in CA

Practice address

6201 Corinth Rd
Mt Juliet, TN 37122-7603

Phone

(760) 760-9636

NPI assigned

Aug 24, 2007

Last updated

May 25, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1720271497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 CORINTH RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371227603",
            "telephone_number": "760-760-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 CORINTH RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371227603",
            "telephone_number": "760-760-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "KERRI",
        "middle_name": "LEANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW628507",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 23681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Walters Tomlinson, PA-C
• Molly Ann Topping
• Totty Chiropractic of Mt. Juliet, PLLC
• Derek Craig Totty, D.C.
• Elizabeth Shammah Totty, DC
• Lauren Marie Trapp
• Nazaret Magdalena Trejo
• Shirley Treutel, BSN
• Triad Counseling and Wellness Corp (Triad Counseling and Wellness Center)
• Laura Trillizio, BCBA

• Clinical Social Worker in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.