Individual provider Active NPI

Tracy Arechederra, MSW, LCSW, NCGCII

  • Clinical Social Worker
  • North Palm Beach, FL
National Provider Identifier
1184944688
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
321 Northlake Blvd
North Palm Beach, FL 33408-5422
Phone
(866) 494-0866
NPI assigned
Jun 7, 2010
Last updated
Aug 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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 NU Primary

Addresses

Primary practice location

321 Northlake Blvd
North Palm Beach, FL 33408-5422

Mailing address

321 Northlake Blvd
North Palm Beach, FL 33408-5422
Phone (866) 494-0866

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

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1184944688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 NORTHLAKE BLVD",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085422",
            "telephone_number": "866-494-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 NORTHLAKE BLVD",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334085422",
            "telephone_number": "866-494-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARECHEDERRA",
        "first_name": "TRACY",
        "credential": "MSW, LCSW, NCGCII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.