Active NPI
Tracy Magers, LSW CADC
- Social Worker
- Chicago, IL
National Provider Identifier
1063930089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.014640
- Practice address
- 4343 N Clarendon Ave
Chicago, IL 60613-2698 - Phone
- (312) 324-0452
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.014640 | IL | Primary |
Addresses
Primary practice location
4343 N Clarendon Ave
Chicago, IL 60613-2698
Mailing address
4343 N Clarendon Ave
915
Chicago, IL 60613
Phone (312) 324-0452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.014640 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1063930089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4343 N CLARENDON AVE",
"address_2": "915",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60613",
"telephone_number": "312-324-0452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 N CLARENDON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606132698",
"telephone_number": "312-324-0452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAGERS",
"first_name": "TRACY",
"credential": "LSW CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.014640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.