Active NPI
Tracy McClorey, LISW-S CDCA
- Clinical Social Worker
- Cincinnati, OH
National Provider Identifier
1104273580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.1302880.SUPV
- Practice address
- 401 Vine St, 3Rd FLR.
Cincinnati, OH 45202-1922 - Phone
- (513) 549-3438
- Fax
- (513) 621-3186
- NPI assigned
- May 16, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 110407 | OH | |
| Clinical Social Worker | 1041C0700X | I.1302880.SUPV | OH | Primary |
Addresses
Primary practice location
401 Vine St, 3Rd FLR.
Cincinnati, OH 45202-1922
Mailing address
117 W Fourth St
Cincinnati, OH 45202-2705
Phone (513) 706-0263
Other practice location 1
401 E McMillan St
Cincinnati, OH 45206-1922
Phone (513) 487-6164
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110407 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| I.1302880.SUPV | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1104273580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 W FOURTH ST",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452022705",
"telephone_number": "513-706-0263",
"fax_number": "513-621-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 VINE ST, 3RD FLR.",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021922",
"telephone_number": "513-549-3438",
"fax_number": "513-621-3186"
}
],
"practiceLocations": [
{
"address_1": "401 E McMillan St",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452061922",
"country_code": "US",
"telephone_number": "513-487-6164",
"fax_number": "513-891-3353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCLOREY",
"first_name": "TRACY",
"credential": "LISW-S CDCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-16",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "110407",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.1302880.SUPV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.