Tracy Juneil Kelly, is a
Social Worker - Clinical based in Stockton, California. Tracy Juneil Kelly is licensed to practice in California (license number 117056) and her current practice location is
1212 N California St, Stockton, California. She can be reached at her office (for appointments etc.) via phone at
(209) 468-8644.
NPI number for Tracy Juneil Kelly is 1508510033 and her current mailing address is Po Box 2187, Stockton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508510033.
Healthcare Provider's Profile
Full Name | Tracy Juneil Kelly |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1212 N California St, Stockton, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508510033
- Provider Enumeration Date: 02/03/2022
- Last Update Date: 04/30/2024
Medical Identifiers
Medical identifiers for Tracy Juneil Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508510033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 117056 (California) | 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. Tracy Juneil Kelly 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 |
Tracy Juneil Kelly, Po Box 2187, Stockton, CA 95201-2187 Ph: (925) 497-1737 | Tracy Juneil Kelly, 1212 N California St, Stockton, CA 95202-1552 Ph: (209) 468-8644 |
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