TRACY LYNN SMITH MA
NPI 1417067539
Psychologist in Charleston, WV

Active since August 30, 2006
4407 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 925-0800(304) 925-0805 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracy Lynn Smith Ma NPPES

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

TRACY LYNN SMITH MA (NPI 1417067539) is an individual psychologist in Charleston, West Virginia, licensed in West Virginia (785) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1417067539
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameTRACY LYNN SMITHCredential: MA
Location Address4407 MACCORKLE AVE SECharleston, WV 25304-2541
Mailing Address4407 Maccorkle Ave SeCharleston, WV 25304-2541 · (304) 925-0800 · Fax (304) 905-0805
Fax(304) 925-0805
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
NPI 1417067539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WV · 785
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4407 MACCORKLE AVE SE, Charleston, WV 25304

Other Identifiers 1

Medicaid9205040000WV

Accepted Insurance

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner
4407 MACCORKLE AVE SE
CHARLESTON, WV 25304
Pain Medicine (Interventional Pain Medicine)
4407 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Practitioner (Family)
4407 MACCORKLE AVE SE
CHARLESTON, WV 25304
Prosthetic/Orthotic Supplier
4407 MACCORKLE AVE SE
CHARLESTON, WV 25304
Clinic/Center (Federally Qualified Health Center (FQHC))
4407 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Practitioner (Pediatrics)
4407 MACCORKLE AVE SE, 2ND FLOOR
CHARLESTON, WV 25304
Pediatrics
4407 MACCORKLE AVE SE
CHARLESTON, WV 25304
Physician Assistant (Medical)
4407 MACCORKLE AVE SE
CHARLESTON, WV 25304

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 Smith's NPI number?

The NPI number for Tracy Smith is 1417067539. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Tracy Smith located?

Tracy Smith practices at 4407 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 925-0800.

What is Tracy Smith's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

What insurance does Tracy Smith accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Tracy Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracy Smith was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.