TRACY L BANE (NPI# 1043268550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043268550 |
| Entity Type | Individual |
| Full Name | TRACY L BANE |
| Credential | LCSW |
| Practice Address |
3201 Shamrock St S Ste 103 Tallahassee FL 32309-3349 |
| Practice Telephone | 8508940061 |
| Practice Fax Number | 8508940062 |
| Mailing Telephone | 8508940061 |
| Mailing Fax Number | 8508940062 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW6953 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE SHIELD NUMBER | Z057A | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3841a Killearn Court, Tallahassee, FL 32309 | 8508940061 | 8508940062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639534407 | Tracy Bane | Day Training/Habilitation Specialist | 2740 College Ave, Conway, AR 72034-6141 | 2015-12-22 |
| Street Address |
3201 SHAMROCK ST S STE 103 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32309-3349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418348 | Kathryn Scrivener, Lcsw LLC | Point of Service | 3201 Shamrock St S Ste 103, Tallahassee, FL 32309-3349 | 2020-05-07 |
| 1326605916 | Tracy Bane Lcsw | Point of Service | 3201 Shamrock St S Ste 103, Tallahassee, FL 32309-3349 | 2019-05-20 |
| 1306333935 | Beth Liljestrand | Clinic/Center | 3201 Shamrock St S Ste 103, Tallahassee, FL 32309-3349 | 2018-04-19 |
| 1447695788 | Beth Liljestrand | Counselor | 3201 Shamrock St S Ste 103, Tallahassee, FL 32309-3349 | 2013-04-30 |
| 1295076834 | Angela Durant Turner | Counselor | 3201 Shamrock St S Ste 103, Tallahassee, FL 32309-3349 | 2013-03-06 |
| 1932220787 | Linda Corbett Sarvis | Social Worker | 3201 Shamrock St S Ste 103, Tallahassee, FL 32309-3349 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090995 | Canopy Counseling & Consulting LLC | Social Worker | 2709-4 Killarney Way, Tallahassee, FL 32309 | 2020-10-12 |
| 1164065975 | Kimberly Michelle Roberts | Technician | 3091 Hawks Landing Drive, Tallahassee, FL 32309 | 2019-10-24 |
| 1558911016 | Valerie Michelle Lewis | Technician | 12514 Moccasin Gap Road, Tallahassee, FL 32309 | 2019-09-17 |
| 1578027686 | Nicole Wolfe | Counselor | 2300 Killearn Center Blvd., Tallahassee, FL 32309 | 2019-01-23 |
| 1134588924 | Matthew Evers | Recreation Therapist | 3383 Aqua Ridge Way, Tallahassee, FL 32309 | 2016-02-22 |
| 1811393499 | Nick Tafuri | Counselor | 823 Sw Greenville Hills Road, Greenville, FL 32309 | 2014-11-10 |
| 1356689699 | Gallop Phedro Franklin II | Pharmacist | 3521 Thomasville, Tallahassee, FL 32309 | 2013-01-22 |
| 1871864157 | Darcee Ann Schmidt | Chiropractor | 3453 Welwyn Way, Tallahassee, FL 32309 | 2012-01-19 |
| 1700051802 | F & G Professional Care Coordinators LLC | Registered Nurse | 3458 Paces Ferry Rd, Tallahassee, FL 32309 | 2008-04-29 |
| 1588672489 | Dennis C Close | Dentist | 2929 Kerry Forest Parkway, Tallahassee, FL 32309 | 2006-08-04 |
| Find all providers in zip 32309 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090995 | Canopy Counseling & Consulting LLC | Social Worker | 2709-4 Killarney Way, Tallahassee, FL 32309 | 2020-10-12 |
| 1194332056 | Antonio Lamar Wyche | Social Worker | 4047 Ailanthus Ct, Tallahassee, FL 32305-5003 | 2020-09-24 |
| 1093328098 | Sarah Ora Rawlings | Social Worker | 3333 West Pensacola Street, Suite 400, Tallahassee, FL 32304-2888 | 2020-08-28 |
| 1932719614 | Wisdom Finders, LLC | Social Worker | 2902 S Monroe St, Tallahassee, FL 32301-6954 | 2020-08-06 |
| 1861011017 | Jessica Gilbert | Social Worker | 2407 Roberts Ave, Tallahassee, FL 32310-8136 | 2020-04-08 |
| 1720616675 | Cristin S Dobrowolski | Social Worker | 3333 W Pensacola St Ste 330, Tallahassee, FL 32304-2888 | 2020-03-27 |
| 1629604194 | Kendra Pearl Alex | Social Worker | 2740 Spring Forest Rd, Tallahassee, FL 32301-3332 | 2020-03-17 |
| 1912540147 | Elysia Renee Andrew | Social Worker | 1000 W Tharpe St Ste 15, Tallahassee, FL 32303-5311 | 2019-10-21 |
| 1457903940 | Matthew Jonathan Tutterow | Social Worker | 1316 Jackson St, Tallahassee, FL 32303-5437 | 2019-07-15 |
| 1245882737 | Jasmine N Sheppard | Social Worker | 1063 Copper Creek Dr, Tallahassee, FL 32311-4087 | 2019-07-15 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32309 |
Please comment or provide details below to improve the information on TRACY L BANE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.