Active NPI
Roxann Tracy Thomas, QP,LCASA, MSW, LCSW
- Clinical Social Worker
- Gastonia, NC
National Provider Identifier
1255564472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 27265 | NC | |
| Clinical Social Worker | 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
| License | State | Type | Specialty |
|---|---|---|---|
| P017392 | NC | MD | Clinical Social Worker |
| HC5684 | NC | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Addiction (Substance Use Disorder) Counselor
- Gastonia, NC
- NPI 1639956659
-
- In Home Supportive Care Agency
- Gastonia, NC
- NPI 1821696055
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.