Individual provider Active NPI

Roxann Tracy Thomas, QP,LCASA, MSW, LCSW

  • Clinical Social Worker
  • Gastonia, NC
National Provider Identifier
1255564472
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5457 Spindle Ridge LN
Gastonia, NC 28056-8515
Phone
(704) 890-8033
NPI assigned
Sep 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 27265 NC
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X P017392 NC
Home Health Agency 251E00000X HC5684 NC
Adult Mental Health Clinic/Center 261QM0850X P017392 NC
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

5457 Spindle Ridge LN
Gastonia, NC 28056-8515

Mailing address

5457 Spindle Ridge LN
Gastonia, NC 28056-8515
Phone (704) 297-6111

Other practice location 1

305 S Columbia St
Gastonia, NC 28054-0451
Phone (704) 297-6111

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

State licenses

LicenseStateTypeSpecialty
P017392NCMDClinical Social Worker
HC5684NCMDHome Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Traynell Home Care LLC Home Health Current Accepting new patients
Traynell Home Care LLC Current Accepting new patients
Gaston Clinical Health Center PLLC Addiction (Substance Use Disorder) Current Accepting new patients

Organizations & group practices 3

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": "1252022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1255564472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5457 SPINDLE RIDGE LN",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568515",
            "telephone_number": "704-297-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5457 SPINDLE RIDGE LN",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280568515",
            "telephone_number": "704-890-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 S Columbia St",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280540451",
            "country_code": "US",
            "telephone_number": "704-297-6111",
            "fax_number": "704-565-4299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROXANN",
        "middle_name": "TRACY",
        "name_prefix": "Mrs.",
        "credential": "QP,LCASA, MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-04",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "27265",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017392",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC5684",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "P017392",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.