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TRACY L BAXLEY TULLOS LCSW
NPI 1124120712
Social Worker - Clinical in Russellville, AR

Active since September 02, 2006
3106 W 2ND CT, SUITE 1, RUSSELLVILLE, AR 72801(479) 880-5100(479) 880-5297 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracy L Baxley Tullos Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY L BAXLEY TULLOS LCSW (NPI 1124120712) is an individual clinical provider in Russellville, Arkansas, licensed in Arkansas (2041C) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1124120712
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTRACY L BAXLEY TULLOSCredential: LCSW
Location Address3106 W 2ND CT, SUITE 1Russellville, AR 72801-4503
Mailing Address3106 W 2nd Ct, Suite 1Russellville, AR 72801-4503 · (479) 880-5100 · Fax (479) 880-5297
Phone(479) 880-5100
Fax(479) 880-5297
Sole ProprietorNo
Enumeration DateSeptember 2, 2006
Last NPPES UpdateMay 5, 2015
✔ NPI 1124120712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in AR · 2041C
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3106 W 2ND CT, Russellville, AR 72801
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LITTLE ROCK VAMC
Clinic/Center (VA)
3106 W 2ND CT
RUSSELLVILLE, AR 72801
Pope County (615) 355-3451
DR. JAMES B JONES III MD
Family Medicine
3106 W 2ND CT
RUSSELLVILLE, AR 72801
Pope County (870) 247-1850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Tullos's NPI number?

The NPI number for Tracy Tullos is 1124120712. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Tracy Tullos located?

Tracy Tullos practices at 3106 W 2nd Ct Suite 1, Russellville, AR 72801. The listed phone number is (479) 880-5100.

What is Tracy Tullos's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tracy Tullos was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.