Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Tracy D. Ellman, LCSW

Individual provider Clinical Social Worker · NPI 1124359682

Mr. Tracy D. Ellman, LCSW is a Clinical Social Worker in Miami, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2010.

Licensed in
OK
In the registry since
2010
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

30 C St NE
Miami, OK 74354-6316
Phone: (918) 540-1563
Fax: (918) 542-7778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4724 (OK)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1124359682
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 23, 2010
Last updated in NPPESJanuary 29, 2015

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