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

Tracy Ann Hogan, LCSW

Individual provider Clinical Social Worker · NPI 1730746108

Tracy Ann Hogan, LCSW is a Clinical Social Worker in Port St Lucie, Florida. Qualified in 1994, 32 years ago. Practices with Change of Mind LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
32
Licensed in
FL
In the registry since
2019
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

12017 SW Bennington Cir
Port St Lucie, FL 34987-2723
Phone: (772) 345-2223
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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 SW5377 (FL)

Record details

NPI number1730746108
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 21, 2019
Last updated in NPPESMay 21, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Change Of Mind Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Port St Lucie