Active NPI
Tracey C. Miers, LCSW-R
- Clinical Social Worker
- Hamburg, NY
National Provider Identifier
1144286071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0000038174
- Practice address
- 40 Main St
Hamburg, NY 14075-4948 - Phone
- (716) 648-6515
- Fax
- (716) 648-7101
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0000038174 | NY | Primary |
Addresses
Primary practice location
40 Main St
Hamburg, NY 14075-4948
Mailing address
741 Delaware Ave
Buffalo, NY 14209-2201
Phone (716) 218-1450
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00030241501 | Other | NY | UNIVERA |
| 040426031053 | Other | NY | FIDELIS |
| 6211350 | Other | NY | INDEPENDENT HEALTH |
| 160743251-58 | Other | NY | PRISM |
| 000523549003 | Other | NY | BLUECROSS/BLUESHIELD |
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 |
|---|---|---|---|
| 0000038174 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1144286071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 DELAWARE AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142092201",
"telephone_number": "716-218-1450",
"fax_number": "716-332-2820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MAIN ST",
"city": "HAMBURG",
"state": "NY",
"postal_code": "140754948",
"telephone_number": "716-648-6515",
"fax_number": "716-648-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIERS",
"first_name": "TRACEY",
"middle_name": "C.",
"credential": "LCSW-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "0000038174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00030241501",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "040426031053",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "6211350",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRISM",
"identifier": "160743251-58",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD",
"identifier": "000523549003",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hamburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.