Active NPI
Tracy E Walker, LISW
- Clinical Social Worker
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107901
- Practice address
- 4801 S Cooper St Ste 401
Arlington, TX 76017-5963 - Phone
- (817) 813-7100
- NPI assigned
- Jun 27, 2011
- Last updated
- Jan 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | M-07500 | NM | |
| Clinical Social Worker | 1041C0700X | I-08435 | NM | |
| Clinical Social Worker | 1041C0700X | 107901 | TX | Primary |
Addresses
Primary practice location
4801 S Cooper St Ste 401
Arlington, TX 76017-5963
Mailing address
695 Arcturus Ave SE
Rio Rancho, NM 87124-2905
Phone (505) 974-9647
Other practice location 1
4100 Barbara Loop SE
Rio Rancho, NM 87124-1000
Phone (505) 702-8547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1950 Ephriham Ave
Fort Worth, TX 76164-6670
Phone (817) 813-7075
20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (866) 630-0966
2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966
2300 W Sahara Ave
Suite 800
Las Vegas, NV 89102-4397
Phone (866) 630-0966
4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone (817) 796-7370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-07500 | NM | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oak Street Health of Texas, PLLC | Clinical | Current | Accepting new patients |
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
Locations
20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113
2300 W Sahara Ave
Ste 800
Las Vegas, NV 89102
Phone (702) 234-3311
4801 S Cooper St
Ste 401
Arlington, TX 76017
Phone (817) 813-7100
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071
4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370
3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358
2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Rio Rancho, NM
- NPI 1013308691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1972899078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 ARCTURUS AVE SE",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871242905",
"telephone_number": "505-974-9647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 S COOPER ST STE 401",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760175963",
"telephone_number": "817-813-7100"
}
],
"practiceLocations": [
{
"address_1": "4100 Barbara Loop SE",
"address_purpose": "LOCATION",
"city": "Rio Rancho",
"state": "NM",
"postal_code": "871241000",
"country_code": "US",
"telephone_number": "505-702-8547",
"fax_number": "505-702-8604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "TRACY",
"middle_name": "E",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-27",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "M-07500",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-08435",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "107901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.