Tracey Atwood

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

5325 Greenwood Ave
Suite 201
West Palm Beach, FL 33407-2452

Phone

(561) 882-6419

Fax

(561) 881-0972

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1023149259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 GREENWOOD AVE",
            "address_2": "SUITE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072452",
            "telephone_number": "561-882-6419",
            "fax_number": "561-881-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 GREENWOOD AVE",
            "address_2": "SUITE 201",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072452",
            "telephone_number": "561-882-6419",
            "fax_number": "561-881-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWOOD",
        "first_name": "TRACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "759250700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joseph Paul Audette
• Susana B Audi

• Social Worker in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.