Tracy Bane Lcsw

LBN: Tracy Bane Lcsw
Tracy Bane Lcsw is an health care organization with primary practice located at 3201 Shamrock St S Ste 103 , Tallahassee FL 32309-3349. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Tracy Bane Lcsw can be contacted via phone (850) 894-0061, or through Bane, Tracy via phone (850) 894-0061.

Contact Information

Primary practice address
3201 Shamrock St S Ste 103 Tallahassee FL 32309-3349
Phone: (850) 894-0061
Fax: (850) 894-0062
Website:
Map and Directions
Authorized official contact:
Name: Bane, Tracy Licensed Clinical Social Worker (LCSW)
Phone: (850) 894-0061

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1326605916
LBN Legal business name Tracy Bane Lcsw
DBA Doing business as
Authorized official Bane, Tracy Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2019
Last updated May 20th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326605916 NPPES
Florida MEDICAID 766468100

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