Active NPI
Tracy Lynn Greene Mintz, LCSW
- Clinical Social Worker
- Redondo Beach, CA
National Provider Identifier
1871797183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 23964
- Practice address
- 1525 Aviation Blvd # 425
Redondo Beach, CA 90278-2805 - Phone
- (310) 386-5576
- Fax
- (310) 379-8086
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 23964 | CA | Primary |
Addresses
Primary practice location
1525 Aviation Blvd # 425
Redondo Beach, CA 90278-2805
Mailing address
1525 Aviation Blvd # 425
Redondo Beach, CA 90278-2805
Phone (310) 386-5576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
23388 Mulholland Dr
Woodland Hills, CA 91364-2733
Phone (818) 876-1075
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of California, P.C. | Clinical | Current | Accepting new patients |
| Optum Behavioral Care of California, P.C. | Current | Accepting new patients | |
| Valley Corf, Inc. | Past | Accepting new patients |
Locations
2175 Park Pl
El Segundo, CA 90245
Phone (310) 345-4200
2555 E Colorado Blvd
Pasadena, CA 91107
Phone (909) 989-4055
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- Rancho Cucamonga, CA
- NPI 1417718297
-
- Clinical Social Worker
- Costa Mesa, CA
- NPI 1447137740
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Tarzana, CA
- NPI 1790706695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1871797183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 AVIATION BLVD # 425",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902782805",
"telephone_number": "310-386-5576",
"fax_number": "310-379-8086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 AVIATION BLVD # 425",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902782805",
"telephone_number": "310-386-5576",
"fax_number": "310-379-8086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE MINTZ",
"first_name": "TRACY",
"middle_name": "LYNN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "23964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.