Tracey Lee Carpenter, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q542587 Issued in MI

Practice address

500 E Washington St Ste 100
Ann Arbor, MI 48104-2057

Phone

(734) 764-3471

NPI assigned

Sep 12, 2023

Last updated

Feb 27, 2024By the provider in NPPES

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

Electronic endpoints 1

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": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1811774904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4327 CORNWELL LN STE 100",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899771",
            "telephone_number": "317-250-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E WASHINGTON ST STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042057",
            "telephone_number": "734-764-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "TRACEY",
        "middle_name": "LEE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "Q542587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://portal.clinictracker.com/",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "Record storage, direct communication",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 E Washington St Ste 100",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481042057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cassidy Carpenter
• Eileen So Carpenter, MD
• James Ely Carpenter, MD
• Kenneth E. Carpenter, D.D.S.
• Tasha Carpenter, PA-C
• Thomas Carr II
• Benjamin David Carr, MD
• Judith A Carr, LMSW,ACSW
• Paige Robin Shermis Carr, OD
• Themba M Carr, PH.D.

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.