Tracy Flanders, MT-BC
Individual provider Active NPI Social Worker · Ada, MI
NPI 1992199632 · NPPES record last updated Mar 19, 2015
Key facts
- NPI
- 1992199632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 6222 Adacroft Dr SE
Ada, MI 49301-7801 - Phone
- (616) 550-9913
- NPI assigned
- Mar 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
6222 Adacroft Dr SE
Ada, MI 49301-7801
Mailing address
6222 Adacroft Dr SE
Ada, MI 49301-7801
Phone (616) 550-9913
Other providers in Ada, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.