Courtney Tracy, LCSW, PSYD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW93285 Issued in CA

Practice address

580 Broadway St
Laguna Beach, CA 92651-1882

Phone

(949) 371-6318

NPI assigned

Aug 19, 2013

Sex

Female

Sole proprietor

Yes

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

Locations

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.

• Exist Centers, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Laguna Beach, CA
  • NPI 1598472805
  NPD Authorized official
• Human Wellness LLC

  • Clinical Social Worker
  • Laguna Beach, CA
  • NPI 1861259004
  NPD Authorized official

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1932532496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 BROADWAY ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511882",
            "telephone_number": "949-371-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 BROADWAY ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511882",
            "telephone_number": "949-371-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "LCSW, PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW93285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toan Nguyen Dental Corporation
• Julie Torbensen, LVN
• Ana L. Torres, PA-C
• Roger Townsend, MD
• Tracy Nicole DDS a Professional Dental Corporation
• Jennifer Rose Triolo-Legault, DOULA
• Trisha Church License Professional Clinical Counselor
• True Harmony Nutrition LLC
• Raelynn M Tucker, M.D.
• Irene Tung-Phan, PH.D.

• Clinical Social Worker in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.