Tracie Rae Baxter-Wintrow, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.2004662 Issued in OH

Practice address

1303 E Main St
Columbus, OH 43205-2047

Phone

(614) 252-6927

Fax

(614) 252-4367

NPI assigned

Oct 7, 2020

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 and National Provider Directory roles.

• National Youth Advocate Program, Inc

  • Community/Behavioral Health Agency
  • Canton, OH
  • NPI 1679721906
  NPD (past)
• National Youth Advocate Program, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Columbus, OH
  • NPI 1952661183
  NPD (past)

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1881291334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 WATERMARK DR STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157088",
            "telephone_number": "614-487-8758",
            "fax_number": "614-487-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052047",
            "telephone_number": "614-252-6927",
            "fax_number": "614-252-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER-WINTROW",
        "first_name": "TRACIE",
        "middle_name": "RAE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2004662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalie None Bausch
• Merrick Lester Bautista, MD
• Tara M. Bautista, CNP
• Sheital Bhupendra Bavishi, DO
• Julia Ann Bavle, LSW
• Chiniqua C Baxter
• Christie Baxter
• Helen Baxter, LSW
• Jeanne M Baxter, COTA
• Leisha R Baxter

• Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.