TRACEY L GONCALVES (NPI# 1053642645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053642645 |
Entity Type | Individual |
Full Name | TRACEY L GONCALVES |
Other Name | TRACEY L MULLIAN |
Credential | MSW |
Practice Address |
407 14th Ave Se Puyallup WA 98372-3770 |
Practice Telephone | 2536971951 |
Mailing Telephone | 2536971951 |
Enumeration Date | 2010-01-20 |
Last Update Date | 2010-01-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
Street Address |
407 14TH AVE SE |
City | PUYALLUP |
State | WA |
Zip Code | 98372-3770 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881670925 | Monirath P Huon | Pharmacist | 407 14th Ave Se, Gsch Pharmacy Department, Puyallup, WA 98372-3770 | 2005-12-20 |
1699253195 | Hospitalist Medicine Physicians of Washington-tcg | Internal Medicine | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2018-08-06 |
1013334432 | Miao Huang | Internal Medicine | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2014-03-24 |
1427307818 | Francesca Lorraine Stracke | Nurse Practitioner | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2012-08-31 |
1144589474 | Betty Jo Paul | Nutritionist | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2012-05-07 |
1295028421 | Carolyn Lynn Vanderbloemen | Social Worker | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2011-05-20 |
1104128727 | Dr Patrice N Stevenson | Physical Medicine & Rehabilitation | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2010-12-02 |
1447574769 | Desiree Charlotte Vaughan | Social Worker | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2010-03-15 |
1720233786 | Laura Camille Hardy | Speech-Language Pathologist | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2008-11-18 |
1508020314 | Michael J Mosley | Family Medicine | 407 14th Ave Se, Puyallup, WA 98372-3770 | 2008-07-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
Find all providers in zip 98372 |
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 |
---|---|---|---|---|
1720438435 | Susan June Arthur | Social Worker | 427 17th St Nw, Puyallup, WA 98371-5121 | 2016-06-14 |
1245619402 | Abraham J Pena | Social Worker | 11701 63rd Ave E, Puyallup, WA 98373-4333 | 2015-05-21 |
1063811586 | Candice Eli | Social Worker | 606 E Main, Suite B, Puyallup, WA 98372-3348 | 2014-08-20 |
1497007827 | Randy Faith Roberts | Social Worker | 6303 155th Street Ct E, Puyallup, WA 98375-7495 | 2012-10-09 |
1306070057 | Jamie Lynn Simmer | Social Worker | 14320 Bath Rd E, Puyallup, WA 98374-9465 | 2009-05-11 |
1356474936 | Michael Kevin Strub | Social Worker | 802 39th Ave Sw, Puyallup, WA 98373-5915 | 2007-03-13 |
1669089207 | Angela Enlow | Social Worker | 401 15th Ave Se, Puyallup, WA 98372-3715 | 2020-09-28 |
1740806868 | Liliana Lopez | Social Worker | 325 E Pioneer, Puyallup, WA 98372-3265 | 2020-06-24 |
1942846548 | Sally Jane Lymangrover Connors | Social Worker | 1706 S Meridian, Puyallup, WA 98371-7516 | 2019-11-19 |
1902372717 | Teresa Ann Holt-schaad | Social Worker | 325 E Pioneer, Puyallup, WA 98372-3265 | 2018-10-18 |
Find all providers in PUYALLUP |
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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.