TRACEY MIDDLETON JENNINGS MSW, LCSW, LADC
NPI 1124346317
Social Worker - Clinical in Broken Arrow, OK

Q: What is Tracey Jennings's NPI number?

The NPI number for Tracey Jennings is 1124346317. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Q: What is Tracey Jennings's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracey Jennings was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 12, 2010PECOS EnrolledAccepts Medicare Assignment

8937 S GARNETT RD, BROKEN ARROW, OK 74012(918) 872-9777(918) 872-9779 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tracey Middleton Jennings Msw, Lcsw, Ladc NPPES

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

TRACEY MIDDLETON JENNINGS MSW, LCSW, LADC (NPI 1124346317) is an individual clinical provider in Broken Arrow, Oklahoma, licensed in Oklahoma (3963) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1124346317

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTRACEY MIDDLETON JENNINGSCredential: MSW, LCSW, LADC

Location Address8937 S GARNETT RDBroken Arrow, OK 74012-6004

Mailing Address2990 N Sioux AveClaremore, OK 74017-3700 · (918) 342-2622 · Fax (918) 342-2641

Phone(918) 872-9777

Fax(918) 872-9779

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateMay 12, 2010

Last NPPES UpdateJuly 12, 2016

✔ NPI 1124346317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OK · 3963

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1033 (OK)

8937 S GARNETT RD, Broken Arrow, OK 74012

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Other Identifiers 1

Other3963OK · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracey Middleton Jennings Msw, Lcsw, Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103110028

PECOS Enrollment IDI20160815002889

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

155 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $53.00 – $162.61

Typical copayment $0.00 (range $13.25 – $40.65)

Most-billed visit code NA

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

MARIA ARQUISOLA MD

Psychiatry & Neurology (Psychiatry)