MEDICARE: KERRI LEANNE TRACY 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	LSW628507	TN
2	1041C0700X	Clinical Social Worker	LCS 23681	CA

General Provider Information

NPI Number	:	1720271497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERRI LEANNE TRACY LCSW

Provider Business Mailing Address
First Line	:	6201 CORINTH RD
Second Line	:
City	:	MT JULIET
State	:	TN
Zip	:	37122-7603
Country	:	US
Telephone Number	:	760-760-9636
Fax Number	:

Provider Business Practice Location Address
First Line	:	6201 CORINTH RD
Second Line	:
City	:	MT JULIET
State	:	TN
Zip	:	37122-7603
Country	:	US
Telephone Number	:	760-760-9636
Fax Number	:

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

Provider Enumeration Date	:	08/24/2007
Last Update Date	:	05/25/2022

Similar Medicare Providers

1366117525 — BRIAN CARDEN MMFT
Practice Location Address:

6201 CORINTH RD
MT JULIET, TN
37122-7603

Practice Phone: 615-973-5454
Practice Fax:

1699437681 — SARAH KATHERINE FINCH MA, ATR-P
Practice Location Address:

6201 CORINTH RD
MT JULIET, TN
37122-7603

Practice Phone: 678-237-2867
Practice Fax:

1215684634 — BRANDIE JONES MMFT
Practice Location Address:

6201 CORINTH RD
MT JULIET, TN
37122-7603

Practice Phone: 615-294-5788
Practice Fax:

1174405427 — KENDRA BRADFORD LPC-MHSP
Practice Location Address:

6201 CORINTH RD
MT JULIET, TN
37122-7603

Practice Phone: 615-973-5454
Practice Fax:

1629357785 — MR. RALPH DOUGLAS COOK LMFT
Practice Location Address:

6201 CORINTH RD
MOUNT JULIET, TN
37122-7603

Practice Phone: 615-504-8362
Practice Fax: 615-220-0054

1982956629 — JASON PAWLIK
Practice Location Address:

6201 CORINTH RD
MOUNT JULIET, TN
37122-7603

Practice Phone: 615-973-5454
Practice Fax:

Directions to “ KERRI LEANNE TRACY LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.