Tracey Middleton Jennings, MSW, LCSW, LADC
NPI 1124346317ActiveIndividual· Social Worker, Clinical· Broken Arrow, OK
Social Worker, Clinical (MSW, LCSW, LADC) in Broken Arrow, Oklahoma, licensed in OK, with an NPI issued in May 2010. Medicare paid $12,774 for services to 12 patients in 2024.
Overview
| NPI | 1124346317 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, LCSW, LADC |
| Sole proprietor | Yes |
| NPI issued | May 12, 2010 |
| Last updated in NPPES | Jul 12, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 1033 | OK |
| Social Worker, Clinical | 1041C0700X | 3963 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 160 across 3 procedure codes |
| Paid by Medicare | $12,774 |
Education and affiliations
| Graduation year | 1992 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 46 clinical social workers in Broken Arrow · All clinical social workers in Oklahoma