Tracey Lundgren, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

107271 Issued in NY

Practice address

19 W. 45TH St
Ste 705
New York, NY 10036-4907

Phone

(833) 775-6252

NPI assigned

Sep 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1770134157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 W HOUSTON ST STE 101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W. 45TH ST",
            "address_2": "STE 705",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100364907",
            "telephone_number": "833-775-6252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 W Houston St Ste 101",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100122553",
            "country_code": "US",
            "telephone_number": "833-775-6252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "TRACEY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Lund, MPH, RDN
• Pamela B. Lund, LMHC
• Stephen Arthur Lund, M.D.
• Madelyn Lunder
• Liza A Lundgren
• Monjori Islam Lundi
• Susan Ellen Lundon, LCSW
• Margaret Elizabeth Lundquist, ACNP
• Andrea Lundy, NP
• Ashley Lundy, FNP-C, FNP-BC

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.