Tracy Ann Coffey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34011155A Issued in IN

Practice address

11542 W 50 N
Westville, IN 46391-9515

Phone

(630) 267-6794

NPI assigned

Jan 14, 2010

Last updated

Apr 9, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1760713739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11542 W 50 N",
            "city": "WESTVILLE",
            "state": "IN",
            "postal_code": "463919515",
            "telephone_number": "630-267-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11542 W 50 N",
            "city": "WESTVILLE",
            "state": "IN",
            "postal_code": "463919515",
            "telephone_number": "630-267-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-14",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149014084",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014084",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011155A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelic Wellness LLC
• Jasmin Archie, FNP
• Eduardo Braun, M.D.
• Barbara Ann Brubaker, APRN, BC
• Erica Nicole Crittendon, FNP-C
• Diane Hunt, MD
• Christopher K. Kesling, D.D.S. ,M.S.
• La Porte Regional Physician Network, Inc. (Westville Family Medicine)
• Laboratory Corporation of America Holdings

• Clinical Social Worker in Westville, IN
• Providers in Westville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.