Tracie Suzette Hall, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008444 Issued in VA

Practice address

616 Park Ave NW
Norton, VA 24273-1922

Phone

(276) 679-1045

Fax

(276) 679-1047

NPI assigned

Mar 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1194141408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 PARK AVE NW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731922",
            "telephone_number": "276-679-1045",
            "fax_number": "276-679-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 PARK AVE NW",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731922",
            "telephone_number": "276-679-1045",
            "fax_number": "276-679-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TRACIE",
        "middle_name": "SUZETTE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivette A Guedon, MD
• Nyla Jewell Gulley, PA-C
• Bria Hairston, PA-C
• Krystal Hall
• Ladonna Hall, LCSW
• Tiffany Hammonds, AUD, CCC-A
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Fariah Asha Haque, MD
• Johum Aziz Haque, MD
• Sahar Hassanain, MD

• Clinical Social Worker in Norton, VA
• Providers in Norton, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.