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

Tracy L Baxley Tullos, LCSW

Individual provider Clinical Social Worker · NPI 1124120712

Tracy L Baxley Tullos, LCSW is a Clinical Social Worker in Russellville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006
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

3106 W 2nd Ct Ste 1
Russellville, AR 72801-4503
Phone: (479) 880-5100
Fax: (479) 880-5297
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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 2041C (AR)

Record details

NPI number1124120712
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 2, 2006
Last updated in NPPESMay 5, 2015

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