Tracy, Julie Ann
Tracy, Julie Ann is an sole proprietor health care provider with primary practice located at 5342 Dudley Blvd. Mccl/116, Mcclellan CA 95652. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tracy, Julie Ann can be contacted via phone (916) 561-7627.Contact Information
Primary practice address
5342 Dudley Blvd. Mccl/116
Mcclellan CA 95652
Phone: (916) 561-7627
Fax: (916) 561-7471
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW86960 | California |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-07799 | New Mexico |
Profile Details
| NPI number | 1285940320 |
|---|---|
| LBN Legal business name | Tracy, Julie Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2010 |
| Last updated | Jan 18th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285940320 | NPPES |
| New Mexico | MEDICAID | 83225102 |
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