Tracy Marie Vega, LCSW is a
Social Worker - Clinical based in San Rafael, California. Tracy Marie Vega is licensed to practice in California (license number 92354) and her current practice location is
3230 Kerner Blvd, San Rafael, California. She can be reached at her office (for appointments etc.) via phone at
(415) 473-2611.
NPI number for Tracy Marie Vega is 1508325234 and her current mailing address is 3230 Kerner Blvd, San Rafael, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508325234.
Healthcare Provider's Profile
Full Name | Tracy Marie Vega |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3230 Kerner Blvd, San Rafael, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508325234
- Provider Enumeration Date: 03/12/2019
- Last Update Date: 10/21/2019
Medical Identifiers
Medical identifiers for Tracy Marie Vega such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508325234 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | ASW76850 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 92354 (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 Marie Vega 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 Marie Vega, LCSW 3230 Kerner Blvd, San Rafael, CA 94901-4840 Ph: (415) 473-2611 | Tracy Marie Vega, LCSW 3230 Kerner Blvd, San Rafael, CA 94901-4840 Ph: (415) 473-2611 |
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