MEDICARE: TRACEY HUNTER 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982798666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACEY HUNTER LCSW

Provider Business Mailing Address
First Line	:	PO BOX 215
Second Line	:
City	:	THOMPSONS STATION
State	:	TN
Zip	:	37179-0215
Country	:	US
Telephone Number	:	931-626-2293
Fax Number	:	931-451-7181

Provider Business Practice Location Address
First Line	:	3011 HARRAH DR STE I
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-6255
Country	:	US
Telephone Number	:	931-626-2293
Fax Number	:

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/28/2020

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Directions to “ TRACEY HUNTER LCSW” Practice Location

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