DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TRACY LYNN CLARK LISW

MEDICARE: TRACY LYNN CLARK LISW
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
11041C0700XClinical Social WorkerI.2607798OH

General Provider Information

NPI Number : 1730873167
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY LYNN CLARK LISW
Provider Business Mailing Address
First Line : 6575 ASHTON LN
Second Line :
City : SOLON
State : OH
Zip : 44139-3213
Country : US
Telephone Number : 440-668-8564
Fax Number :
Provider Business Practice Location Address
First Line : 6575 ASHTON LN
Second Line :
City : SOLON
State : OH
Zip : 44139-3213
Country : US
Telephone Number : 440-668-8564
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2023
Last Update Date : 04/14/2026

Similar Medicare Providers

1346200748 — ANASTASIA MARIE WEBB LPCC-S
Practice Location Address:
6575 ASHTON LN
SOLON, OH
44139-3213
Practice Phone: 440-668-8564
Practice Fax: 440-498-1720
1700891413 — BERKO PSYCHOLOGICAL ASSOCIATES, INC
Practice Location Address:
6575 ASHTON LN
SOLON, OH
44139-3213
Practice Phone: 440-668-8564
Practice Fax: 877-844-4869
1477600492 — MRS. KIMBERLY ANNE COHEN LISW
Practice Location Address:
6575 ASHTON LN
SOLON, OH
44139-3213
Practice Phone: 440-668-8564
Practice Fax: 877-844-4869
1689712739 — BERKO PSYCHOLOGICAL ASSOCIATES, INC.
Practice Location Address:
6575 ASHTON LN
SOLON, OH
44139-3213
Practice Phone: 440-668-8564
Practice Fax: 440-498-1720
1740584143 — DEBRA MAUREEN FADER LISW
Practice Location Address:
6575 ASHTON LN
SOLON, OH
44139-3213
Practice Phone: 440-668-8564
Practice Fax: 877-844-4869
1518375476 — GABRIEL SOMARRIBA PSYD
Practice Location Address:
6575 ASHTON LN
SOLON, OH
44139-3213
Practice Phone: 440-668-8564
Practice Fax: 877-844-4869

Directions to “ TRACY LYNN CLARK LISW” 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.