Individual provider Active NPI

Tracy E Walker, LISW

  • Clinical Social Worker
  • Arlington, TX
National Provider Identifier
1972899078
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
107901 Issued in TX
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, NV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210421000217 AZ Practitioner - Clinical Social Worker 0941521074 Reassigns benefits to 1 organization
I20220804000283 TX Practitioner - Clinical Social Worker 0941521074 Reassigns benefits to 2 organizations
I20251216001938 NV Practitioner - Clinical Social Worker 0941521074 Reassigns benefits to 1 organization

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
Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

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

LicenseStateTypeSpecialty
M-07500NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Texas, PLLC Clinical CurrentSince Feb 5, 2024 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 5, 2021 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.

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

Verify at the official NPI Registry.