Individual provider Active NPI

Tracy Lynn Greene Mintz, LCSW

  • Clinical Social Worker
  • Redondo Beach, CA
National Provider Identifier
1871797183
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23964 Issued in CA
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

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of California, P.C. Clinical CurrentSince Sep 15, 2025 Accepting new patients
Optum Behavioral Care of California, P.C. CurrentSince Sep 15, 2025 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.

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

Verify at the official NPI Registry.