Tracy Weatherford McNeely, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4059 Issued in LA

Practice address

4820 Lake St
Lake Charles, LA 70605-6010

Phone

(337) 310-7378

Fax

(337) 310-7382

NPI assigned

Mar 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Other names 1

• Miss Tracy Weatherford Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952433096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4591",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706064591",
            "telephone_number": "337-310-7378",
            "fax_number": "337-310-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706056010",
            "telephone_number": "337-310-7378",
            "fax_number": "337-310-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEELY",
        "first_name": "TRACY",
        "middle_name": "WEATHERFORD",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE-SOCIAL WORKER",
            "identifier": "4059",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "WEATHERFORD",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ray Frank McLinsky Jr.
• Danielle Lavonne McLurkin, M.D.
• Lashanda McMahon
• Brian McMillin, HIS
• Matthew C, McNally, MA, LPC
• McNeese State University (McNeese Sports Medicine)
• McNeese State University
• Elvina Bias McZeal
• MDL Med Corp LLC
• Meche and Callaba Therapeutic Services, LLC

• Clinical Social Worker in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.