Traci Lee Demerchant, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007638 Issued in VA

Practice address

10712 Ballantraye Dr
Suite 304
Fredericksburg, VA 22407-4702

Phone

(540) 242-8970

Fax

(540) 710-9299

NPI assigned

Mar 8, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• National Counseling Group, Inc

  • Mental Health Counselor
  • Fredericksburg, VA
  • NPI 1932342359

  Clinical

  NPD (past)

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1023359593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10712 BALLANTRAYE DR",
            "address_2": "SUITE 304",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074702",
            "telephone_number": "540-242-8970",
            "fax_number": "540-710-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10712 BALLANTRAYE DR",
            "address_2": "SUITE 304",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074702",
            "telephone_number": "540-242-8970",
            "fax_number": "540-710-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMERCHANT",
        "first_name": "TRACI",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherin Delcid
• Gianella Alison Delgado, CCC-SLP
• Jacki L Delo, LFNP-C, CNOR, CRNFA
• Eric Delozier
• Amanda Demarre
• Ashley Ryan Demerle, HIS
• Shania Dennis
• Dental One Associates (Fredericksburg) P.C.
• Dental Professionals of Virginia, P.C.
• Dental Professionals of Virginia, P.C.

• Clinical Social Worker in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; 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.