MEDICARE: MS. TRACY LEE ADAMS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	11344	FL

General Provider Information

NPI Number	:	1366197923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TRACY LEE ADAMS LCSW

Provider Business Mailing Address
First Line	:	1446 THE CROSSINGS
Second Line	:
City	:	NICEVILLE
State	:	FL
Zip	:	32578-4268
Country	:	US
Telephone Number	:	850-499-5929
Fax Number	:

Provider Business Practice Location Address
First Line	:	5411 SKY CENTER DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-1570
Country	:	US
Telephone Number	:	813-939-2202
Fax Number	:	866-495-2009

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2022
Last Update Date	:	05/25/2025

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