IndividualActive
Tracy Ross-Fares, LCSW, C-ASWCM
NPI 1568425627 · Social Worker · Mayport, FL
Provider details
- NPI number
- 1568425627
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW, C-ASWCM
- Sex
- Female
- Sole proprietor
- No
- License
- SW 4952 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2104 Massey Avenue
Naval Station, Mayport
Mayport, FL 32228
Phone: (904) 270-4294
Fax: (904) 270-4457
Approximate (ZIP-level) locationGet directions
Mailing address
2080 Child St
Jacksonville, FL 32214-5005
Registry dates
- Enumerated
- 2006-04-10
- Last updated
- 2013-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.