Individual provider Active NPI

Tracy-Ann Natoya Hudson-Thompson, LCSW

  • Clinical Social Worker
  • Raeford, NC
National Provider Identifier
1174254734
Registry record updated Mar 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C019585 Issued in NC
Practice address
753 S Main St
Raeford, NC 28376-3238
Phone
(910) 490-2037
Fax
(910) 479-1711
NPI assigned
Jun 23, 2022
Last updated
Mar 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 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 C019585 NC Primary

Addresses

Primary practice location

753 S Main St
Raeford, NC 28376-3238

Mailing address

2729 Thursby Cross
Fayetteville, NC 28306-2897
Phone (954) 549-5582

Other practice location 1

1206 Hope Mills Rd
Fayetteville, NC 28304-4215
Phone (910) 275-5766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260320002832 NC Practitioner - Clinical Social Worker 1254815814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2729 Thursby Cross
Fayetteville, NC 28306-2897

3077 N Main St
Suite 201
Hope Mills, NC 28348-1735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C019585NCMDClinical Social Worker

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772928000000",
    "number": "1174254734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 THURSBY CROSS",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062897",
            "telephone_number": "954-549-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 S MAIN ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763238",
            "telephone_number": "910-490-2037",
            "fax_number": "910-479-1711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 Hope Mills Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044215",
            "country_code": "US",
            "telephone_number": "910-275-5766",
            "fax_number": "866-990-0668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDSON-THOMPSON",
        "first_name": "TRACY-ANN",
        "middle_name": "NATOYA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2026-03-08",
        "certification_date": "2026-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C019585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

Verify at the official NPI Registry.