Shannon Tracy, is a
Counselor - Mental Health based in Los Angeles, California. Shannon Tracy is licensed to practice in * (Not Available) (license number ) and her current practice location is
333 S Beaudry Ave, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(213) 241-3841.
NPI number for Shannon Tracy is 1376213967 and her current mailing address is 333 S Beaudry Ave, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376213967.
Healthcare Provider's Profile
| Full Name | Shannon Tracy |
|---|
| Gender | Female |
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| Speciality | Counselor - Mental Health |
|---|
| Location | 333 S Beaudry Ave, Los Angeles, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1376213967
- Provider Enumeration Date: 09/15/2021
- Last Update Date: 06/09/2023
Medical Identifiers
Medical identifiers for Shannon Tracy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376213967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Tracy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shannon Tracy,
333 S Beaudry Ave,
Los Angeles, CA 90017-1466
Ph: (213) 241-3841 | Shannon Tracy,
333 S Beaudry Ave,
Los Angeles, CA 90017-1466
Ph: (213) 241-3841 |
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