MR. TRACY D. ELLMAN (LCSW) – Clinical Social Worker, NPI 1124359682

MR. TRACY D. ELLMAN (LCSW) is a healthcare provider. based in Miami, Oklahoma. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 4724 (OK). The NPI Number for MR. TRACY D. ELLMAN (LCSW) is 1124359682

Main info

Male
Name
MR. TRACY D. ELLMAN (LCSW)
NPI
1124359682
Phone
(918) 540-1563
Address
30 C ST NE
Enumeration Date
23 January 2010
Last Update Date
29 January 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for MR. TRACY D. ELLMAN (LCSW)

  • 30, C Street Northeast, Miami, Ottawa County, Oklahoma, 74354, United States

    MIAMI, OK 743546316

    Phone: (918) 540-1563

    Fax: (918) 542-7778

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74354)

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Reviews

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Frequently asked questions

Can I use this page to confirm MR. TRACY D. ELLMAN (LCSW)'s NPI?
Yes. MR. TRACY D. ELLMAN (LCSW) is listed with NPI 1124359682 in the public NPI dataset.
Is MR. TRACY D. ELLMAN (LCSW) listed as active for patients and plans?
The listing shows MR. TRACY D. ELLMAN (LCSW) as active in the NPI system.
What healthcare role does MR. TRACY D. ELLMAN (LCSW) hold?
Scheduling teams often label MR. TRACY D. ELLMAN (LCSW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What address line appears for MR. TRACY D. ELLMAN (LCSW)?
MR. TRACY D. ELLMAN (LCSW)'s geographic hint is Miami, Oklahoma in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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