Individual provider Active NPI

Tracey Taldon

  • Clinical Social Worker
  • Raynham, MA
National Provider Identifier
1164707626
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1164707626 Issued in MA
Practice address
3 Carlton St
Raynham, MA 02767-4602
Phone
(857) 221-0451
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1164707626 MA Primary

Addresses

Primary practice location

3 Carlton St
Raynham, MA 02767-4602

Mailing address

73 N Glenway Ave
Randolph, MA 02368-5450
Phone (857) 221-0451

Other identifiers 1

IdentifierTypeStateIssuer
1303414MedicaidMA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness for Our Future, LLC Clinical CurrentSince Mar 6, 2022 Accepting new patients
Family Service Association of Greater Boston Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1164707626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 N GLENWAY AVE",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023685450",
            "telephone_number": "857-221-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CARLTON ST",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027674602",
            "telephone_number": "857-221-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALDON",
        "first_name": "TRACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1164707626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303414",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raynham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.