TRACY L. ROSS-FARES


Address: 2104 Massey Avenue, Naval Station, Mayport, Mayport, FL 32228
Phone: 9042704294

TRACY L. ROSS-FARES (NPI# 1568425627) 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) 1568425627
Entity Type Individual
Full Name TRACY L. ROSS-FARES
Credential LCSW, C-ASWCM
Practice Address 2104 Massey Avenue
Naval Station, Mayport
Mayport
FL 32228
Mailing Address 2080 Child St
Jacksonville
FL 32214-5005
Practice Telephone 9042704294
Practice Fax Number 9042704457
Mailing Telephone 9042704294
Mailing Fax Number 9042704457
Enumeration Date 2006-04-10
Last Update Date 2013-04-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker SW 4952 FL Behavioral Health & Social Service Providers

Office Location

Street Address 2104 MASSEY AVENUE
NAVAL STATION, MAYPORT
City MAYPORT
State FL
Zip Code 32228

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NPI Name Taxonomy Address Enumeration
1023546108 Gregory Donald Willden Military Health Care Provider Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 2017-06-01
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1871950667 Julie Nicole Boisen General Practice Bldg 1320, Waterfront Medical, Mayport, FL 32228 2016-01-25
1134594245 Luis Figueroa Military Health Care Provider Lcsron Two, 2480 Bonhomme Richard St, Jacksonville, FL 32228 2015-12-01
1790154813 Franklin Paul Mccullough Military Health Care Provider Bon Homme St Bldg 2480, Jacksonville, FL 32228 2015-09-18
1932512498 Mayport Refill Pharmacy Military/U.S. Coast Guard Pharmacy Naval Health Clinic Mayport, 2104 Massey Ave, Mayport, FL 32228 2014-06-03
1366863102 Clayton Pascik Military Health Care Provider Bldg 1488 Massey Ave., Jacksonville, FL 32228 2013-12-20
1104267533 Joshua Israel Keil Optometrist Building 2104 Massey Avenue, Nas Mayport, FL 32228 2013-07-15
1588907042 Devon Schefano Military Health Care Provider 1204 Massey Ave, Mayport, FL 32228 2013-04-03
1851686554 Philip M Yam Psychiatry & Neurology Cnss-14, Mrd Bld 1320, Mayport Naval Station, Jacksonville, FL 32228 2011-06-10
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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]

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Competitor

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City MAYPORT
Zip Code 32228

Improve Information

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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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