Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
TRACY KENLINE
Active
Individual
TRACY KENLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1453
CO
1041C0700X
Clinical Social Worker
SW7622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12076183
CAQH
CO
01
—
45-2792123
TAX ID
CO
Enumeration date
04/03/2007
Last updated
11/21/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up