Individual provider Active NPI

Tracy Elle Thomas, LCSW

  • Clinical Social Worker
  • Draper, UT
National Provider Identifier
1891430914
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1891430914 Issued in UT
Practice address
12226 S 1000 E Ste 9
Draper, UT 84020-3211
Phone
(435) 709-6771
Fax
(801) 872-7695
NPI assigned
May 3, 2022
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 1891430914 UT Primary

Addresses

Primary practice location

12226 S 1000 E Ste 9
Draper, UT 84020-3211

Mailing address

138 E 12300 S Unit 838
Draper, UT 84020-7976
Phone (435) 709-6771

Other names 1

  • Tracy Washington Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016000815 UT Practitioner - Clinical Social Worker 6406388438 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Karen W. Malm, PH.D., P.C.Group PAC ID 4284732835, 11 clinicians

Practice addresses (Care Compare)

12176 S 1000
Suite 12
Draper, UT 84020-3221
Phone (435) 709-6771

5689 S Redwood Rd
Unit 27
Taylorsville, UT 84123-5499
Phone (801) 266-2485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1891430914UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Life Elevated Therapy & Coaching, PLLC Clinical CurrentSince Sep 7, 2025 Accepting new patients
Karen W. Malm, PH.D., P.C. CurrentSince Sep 10, 2024 Accepting new patients

Locations

12176 S 1000 E
Ste 12
Draper, UT 84020
Phone (435) 709-6771

12226 S 1000 E
Ste 9
Draper, UT 84020
Phone (435) 709-6771

138 E 12300 S
Unit 838
Draper, UT 84020

125 W Main St
Unit 466
Midway, UT 84049

5689 S Redwood Rd
Ste 27
Taylorsville, UT 84123
Phone (801) 266-2485

5689 S Redwood Rd
Unit 27
Taylorsville, UT 84123
Phone (801) 266-2485

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1891430914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E 12300 S UNIT 838",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840207976",
            "telephone_number": "435-709-6771",
            "fax_number": "801-872-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12226 S 1000 E STE 9",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840203211",
            "telephone_number": "435-709-6771",
            "fax_number": "801-872-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TRACY",
        "middle_name": "ELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "1891430914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "WASHINGTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Draper, UT

Sources for this page

Verify at the official NPI Registry.