TRACEY EADDY


Address: 14733 S Telegraph Rd, Monroe, MI 48161-9545
Phone: 7342438707

TRACEY EADDY (NPI# 1114377512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114377512
Entity Type Individual
Full Name TRACEY EADDY
Credential LLMSW
Practice Address 14733 S Telegraph Rd
Monroe
MI 48161-9545
Practice Telephone 7342438707
Practice Fax Number 7372438710
Mailing Telephone 7342438707
Mailing Fax Number 7372438710
Enumeration Date 2016-06-16
Last Update Date 2016-06-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Y 104100000X Social Worker 6801094574 MI Behavioral Health & Social Service Providers

Office Location

Street Address 14733 S TELEGRAPH RD
City MONROE
State MI
Zip Code 48161-9545

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952597544 Rainbow Center of Michigan Inc Pharmacy 14733 S Telegraph Rd, Monroe, MI 48161-9545 2007-09-18
1427549211 Tanesha Nichelle Edwards Counselor 14733 S Telegraph Rd, Monroe, MI 48161-9545 2018-05-29
1073024121 Tamika Darcelle Pitts Licensed Practical Nurse 14733 S Telegraph Rd, Monroe, MI 48161-9545 2017-10-17
1861914178 Claudia Hall Counselor 14733 S Telegraph Rd, Monroe, MI 48161-9545 2017-07-10
1457891368 Delford Mathews Community Health Worker 14733 S Telegraph Rd, Monroe, MI 48161-9545 2017-02-27
1477099745 Rainbow Centers of Michigan Clinic/Center 14733 S Telegraph Rd, Monroe, MI 48161-9545 2017-01-11
1033665641 Carolyn Manning-lowe Counselor 14733 S Telegraph Rd, Monroe, MI 48161-9545 2016-09-01
1831540343 Tiese Veronica Smith Counselor 14733 S Telegraph Rd, Monroe, MI 48161-9545 2016-06-27
1508210428 Bennice Byles Social Worker 14733 S Telegraph Rd, Monroe, MI 48161-9545 2016-04-18
1932567583 Howard Stirgus Jr. Counselor 14733 S Telegraph Rd, Monroe, MI 48161-9545 2016-02-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164980967 James Abrams Behavior Technician 2086 South Custer Road, Monroe, MI 48161 2019-03-11
1457841504 Teresa Anne Clark-jones Health Educator Msu Extension Monroe County, 963 S. Raisinville Rd., Monroe, MI 48161 2018-05-15
1174045215 Ariane E Combs Counselor 25 S. Monroe Street, Suite 205, Monroe, MI 48161 2017-07-11
1518341650 Jennifer Statler Physical Therapist 1380 Lake Dr, Unit B, Monroe, MI 48161 2015-07-18
1811376742 Rainbow Center of Michigan, Inc Community/Behavioral Health 14733 S. Telegraph Rd, Monroe, MI 48161 2015-05-26
1356743371 Samantha Rose Dehring Counselor Recovery Zone Counseling, Pllc, 49 South Monroe St. (suite# 175), Monroe, MI 48161 2014-09-22
1598105074 Busharat Ahmad Ophthalmology 774 Windsor Court, Monroe, MI 48161 2013-06-28
1225371032 Anissa Castelluzzo Nurse Practitioner 975 S Monroe St Ste C, Monroe, MI 48161 2013-03-29
1811256274 Paul Mikels Lmsw LLC Social Worker 986 S. Telegraph Rd, Monroe, MI 48161 2012-05-04
1225306798 Paula Stanifer Counselor 14930 Laplaisance Rd #123, Monroe, MI 48161 2011-12-12
Find all providers in zip 48161

Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528683422 Nicholas Devon Turner Social Worker 3624 Curry St, Monroe, LA 71203-5618 2020-06-16
1043831035 Tammy Price Social Worker 414 Pine Street, Monroe, LA 71201 2020-04-30
1063050961 James J Gregory Social Worker 4800 S Grand, Monroe, LA 71201 2019-12-11
1891269924 Monroe Therapy Services, Pllc Social Worker 410 Waterlemon Way, Monroe, NC 28110-8666 2019-01-11
1639657489 Cassandra Rae Boccassini Social Worker 11 Berkley Ter, Monroe, NY 10950-1060 2018-08-03
1760991152 Amy Lafferty Social Worker 1001 S. Raisinville Rd., Monroe, MI 48161-0726 2017-09-28
1871022087 Maria A Smoot Social Worker 206 Pecan Dr Apt A, Monroe, LA 71203-4918 2017-06-09
1821533639 Geoi Smart Social Worker 1602 Oaklawn Dr, Monroe, LA 71202 2017-01-03
1386195592 Andrew Shehadeh Butler Social Worker 4909 Tanager Dr, Monroe, MI 48161-9644 2016-10-24
1033660295 Tanya Brandy Social Worker 334 Oregon Trl, Monroe, LA 71202-3724 2016-10-21
Find all providers in MONROE

Competitor

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City MONROE
Zip Code 48161

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Dataset Information

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.

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