Tracy L Gogan, L.M.S.W., A.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801091016 Issued in MI

Practice address

497 E Columbia Ave
Suite 16
Battle Creek, MI 49014-5463

Phone

(269) 963-7135

Fax

(269) 963-0071

NPI assigned

Nov 13, 2009

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

Other names 1

• Mrs. Tracy L Saracina Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

University of Michigan Medical School, 1987

Medicare assignment

May accept Medicare assignment

Group practices

Comforts of Home Counseling and Care Management LLCGroup PAC ID 8123305802, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Comforts of Home Counseling & Care Management LLC

  • Clinical Social Worker
  • Battle Creek, MI
  • NPI 1306193602
  Medicare reassignment Care Compare group NPD
• Arrive Therapy LLC

  • Clinical Social Worker
  • Battle Creek, MI
  • NPI 1326787367
  NPD Authorized official
• Arrrive Therapy LLC

  • Clinical Social Worker
  • Battle Creek, MI
  • NPI 1336888379
  NPD Authorized official

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1972830826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 E COLUMBIA AVE",
            "address_2": "SUITE 16",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145463",
            "telephone_number": "269-963-7135",
            "fax_number": "269-963-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 E COLUMBIA AVE",
            "address_2": "SUITE 16",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145463",
            "telephone_number": "269-963-7135",
            "fax_number": "269-963-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGAN",
        "first_name": "TRACY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "L.M.S.W., A.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "SARACINA",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "M.S.W., A.C.S.W.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Latisha Opal Glass, DDS
• Michael Eugene Glass, DDS
• Debra Laprad Gleeson, PH.D.
• Kim Jeffrey Gloystein, MD
• Amy Lynn Goff, LPN
• Joel Lee Goldberg, M.D.
• Bethany Gonzalez, NMW
• Samantha J Gonzalez, LMSW
• Peter D Goodman, MD
• Thomas Charles Goodsell, D.D.S.

• Clinical Social Worker in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.