Whitaker, Tracy Lee
Whitaker, Tracy Lee is an individual health care provider with primary practice located at 7001 Forest Ave Ste 302 , Richmond VA 23230-1726. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Whitaker, Tracy Lee can be contacted via phone (804) 282-2655.Contact Information
Primary practice address
7001 Forest Ave Ste 302
Richmond VA 23230-1726
Phone: (804) 282-2655
Fax: (804) 237-8283
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904006097 | Virginia |
Profile Details
NPI number | 1902861974 |
---|---|
LBN Legal business name | Whitaker, Tracy Lee |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 20th, 2006 |
Last updated | May 28th, 2024 - about last year |
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 | 1902861974 | NPPES |
Virginia | MEDICAID | 004945115 | |
Virginia | MEDICAID | O85302M | |
Virginia | MEDICAID | 180716 | |
Virginia | Other | O85302M | |
Virginia | Other | 180716 | |
Virginia | Other | 180716 |
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