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

Mrs. Tracey Lynn White, LCSW

Individual provider Clinical Social Worker · NPI 1134555782

Mrs. Tracey Lynn White, LCSW is a Clinical Social Worker in Coeur D Alene, Idaho. Qualified in 2007, 19 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Alaska and Idaho.

Years since qualifying
19
Licensed in
AK, ID
In the registry since
2013
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

2290 W Prairie Ave
Coeur D Alene, ID 83815-8424
Phone: (207) 772-7994
Fax: (208) 772-5916
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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 38434 (ID)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1234 (AK)

Record details

NPI number1134555782
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 15, 2013
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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