Individual provider Active NPI

Tracey Ann Corbett

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1932612231
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-16436 Issued in AZ
Practice address
4977 W Camino de Manana
Tucson, AZ 85742-9710
Phone
(303) 349-8586
NPI assigned
Nov 8, 2017
Last updated
Nov 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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 LCSW-16436 AZ Primary

Addresses

Primary practice location

4977 W Camino de Manana
Tucson, AZ 85742-9710

Mailing address

7959 N Thornydale Rd Unit 91798
Tucson, AZ 85752-3113
Phone (303) 349-8586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180406000177 AZ Practitioner - Clinical Social Worker 1254694177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11125 N la Canada Dr
Unit 161
Oro Valley, AZ 85737-9404
Phone (520) 257-1173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-16436AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tracey Corbett Inc Clinical CurrentSince Aug 1, 2019 Accepting new patients

Locations

11125 N La Canada Dr
Unit 161
Oro Valley, AZ 85737
Phone (520) 222-8810

Organizations & group practices 1

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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1932612231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7959 N THORNYDALE RD UNIT 91798",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857523113",
            "telephone_number": "303-349-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4977 W CAMINO DE MANANA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857429710",
            "telephone_number": "303-349-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "TRACEY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-16436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.