Tracie Herold, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005167 Issued in GA

Practice address

1240 Clairmont Rd Ste 207
Decatur, GA 30030-1254

Phone

(678) 681-5111

NPI assigned

May 29, 2014

Last updated

Jul 16, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tracie Herold LCSW, LLC

  • Clinical Social Worker
  • Decatur, GA
  • NPI 1063972057
  NPD (past) Authorized official

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1841602430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 COOLWATER CT",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331809",
            "telephone_number": "678-681-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 CLAIRMONT RD STE 207",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301254",
            "telephone_number": "678-681-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROLD",
        "first_name": "TRACIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage Medical Inc
• Stephen H Herman
• Emily Ann Hermes, DPM
• Anissa Hernandez, MSW
• Jeranfel Hernandez, M.D.
• Keka Heron
• Linda Herren, CRNA
• Georgia A Herrera, D.C.
• Carol L Herrmann, MD
• Marc L. Herscher, PT

• Clinical Social Worker in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.