TRACY LARSON (NPI# 1447203278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447203278 |
| Entity Type | Individual |
| Full Name | TRACY LARSON |
| Credential | LMSW |
| Practice Address |
1919 N Amidon Ave Ste. 100 Wichita KS 67203-2117 |
| Mailing Address |
635 N Main St Wichita KS 67203-3602 |
| Practice Telephone | 3166607540 |
| Practice Fax Number | 3166607588 |
| Mailing Telephone | 3166607600 |
| Mailing Fax Number | 3163837925 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 5726 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS BLUE SHIELD | 200919 | 01 |
| KS | PREFERRED HEALTH SYSTEMS | 8680 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578861498 | Tracy Charisse Larson | Counselor | 15655 County Rd B, Hayward, WI 54843-3251 | 2011-03-01 |
| 1689630675 | Tracy Lorraine Larson | Psychologist | 211 West Ave, Newark, NY 14513-1336 | 2006-04-26 |
| 1285637207 | Tracy M Larson | Obstetrics & Gynecology | 6401 Morrison Blvd # 2a, Charlotte, NC 28211-3800 | 2005-05-23 |
| 1063032316 | Tracy Larson | Nurse Practitioner | 415 Barnwell Ave Nw, Aiken, SC 29801-3937 | 2020-04-16 |
| 1033551569 | Tracy L Larson | Nurse Practitioner | 314 Ohmer St, Bottineau, ND 58318-1059 | 2013-07-25 |
| 1972804052 | Tracy Larson | Counselor | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2010-11-05 |
| 1285880260 | Tracy Ann Larson | Student in an Organized Health Care Education/Training Program | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2008-08-11 |
| Street Address |
1919 N AMIDON AVE STE. 100 |
| City | WICHITA |
| State | KS |
| Zip Code | 67203-2117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982663720 | Deborah Ann Olien | Social Worker | 1919 N Amidon Ave, Ste 100, Wichita, KS 67203-2117 | 2006-03-21 |
| 1770935470 | Mary Brooks | Social Worker | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2016-07-06 |
| 1184085433 | Allison Cockrill | Social Worker | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2016-03-15 |
| 1861859787 | Gracemed Health Clinic, Inc | Clinic/Center | 1919 N Amidon Ave, Suite 100, Wichita, KS 67203-2117 | 2016-01-22 |
| 1245607845 | Diane Hilger | Licensed Practical Nurse | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2015-08-31 |
| 1831566751 | Thien Pham | Registered Nurse | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2015-08-26 |
| 1184090896 | Rose Weisensee | Registered Nurse | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2015-08-17 |
| 1023494366 | Lynelle Fernandez | Registered Nurse | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2015-08-10 |
| 1881094902 | Ashley Melugin | Clinical Nurse Specialist | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2014-08-26 |
| 1407281272 | Jacy F Barker | Nurse Practitioner | 1919 N Amidon Ave, Ste 130, Wichita, KS 67203-2117 | 2013-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194372342 | Briana Renea Drury | Occupational Therapist | Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 | 2019-08-22 |
| 1568991826 | Kansas Transportation Services | Transportation Broker | 3536 W 2nd St N, # 503, Wichita, KS 67203 | 2017-06-08 |
| 1326590621 | Katherine Renee Newby | Marriage & Family Therapist | 930 W Douglas Ave # G, Wichita, KS 67203 | 2016-11-03 |
| 1376093211 | Stellar Home Health LLC | Home Health | 2525 W 13th St North, Suite 300, Wichita, KS 67203 | 2016-10-04 |
| 1972966497 | David Duane Sorrick | Marriage & Family Therapist | 1999 North Amidon, Wichita, KS 67203 | 2016-04-01 |
| 1285004978 | M. Sullivan Chiropractic LLC | Chiropractor | 728 W. Douglas Ave, Wichita, KS 67203 | 2015-10-07 |
| 1740664648 | Miketo Michelle Kirk | Counselor | 2050 West 11th St., Wichita, KS 67203 | 2015-07-10 |
| 1063895209 | Let's Talk Therapy and Supervision Inc | Social Worker | 2458 W Newell St, Wichita, KS 67203 | 2015-07-07 |
| 1396147096 | Heather Ann Shelton | Counselor | 1919 N Amidon Ave Ste 108, Wichita, KS 67203 | 2014-09-24 |
| 1538568456 | Patricia D. Riley | Social Worker | 1900 N Amidon Ave Ste 210, Wichita, KS 67203 | 2014-08-15 |
| Find all providers in zip 67203 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313983 | Mary Carol Ward | Social Worker | 333 E English St, Wichita, KS 67202-4320 | 2020-10-13 |
| 1992318729 | Meaghan Ann Mackey | Social Worker | 3725 W Angel St, Wichita, KS 67217-7029 | 2020-08-31 |
| 1184248619 | Shawn M Dixon | Social Worker | 322 S Laura Ave, Wichita, KS 67211-1517 | 2020-06-01 |
| 1609425735 | Davon J Anderson | Social Worker | 2549 S Lori St, Wichita, KS 67210-1914 | 2019-09-11 |
| 1750844163 | Rachel Lynn Thomas | Social Worker | 5414 S Market St, Wichita, KS 67216-4901 | 2019-04-11 |
| 1972064418 | Lisa Marie Harrison | Social Worker | 2922 N Spring Meadow Ct, Wichita, KS 67205-1659 | 2019-03-27 |
| 1366910838 | Taryn Jewell Zweygardt | Social Worker | 315 N Hillside St Ste E, Wichita, KS 67214-4915 | 2018-11-02 |
| 1316433972 | Christine Michelle Wagner | Social Worker | 807 N Waco Ave Ste 11, Wichita, KS 67203-3971 | 2018-07-07 |
| 1073021960 | Lisa Michelle Smith | Social Worker | 1501 N Lynnhurst Ave, Wichita, KS 67212-1846 | 2018-01-13 |
| 1770095937 | Rossilyn D Banks | Social Worker | 2305 N Somerset St Apt 201, Wichita, KS 67204-5747 | 2017-10-27 |
| Find all providers in WICHITA | ||||
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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.