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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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