Active NPI
Tracie Meyers, MSW
- Clinical Social Worker
- Jersey City, NJ
National Provider Identifier
1316971914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05440300
- Practice address
- 492 Communipaw Ave
Jersey City, NJ 07304-2939 - Phone
- (800) 994-6242
- Fax
- (800) 994-6242
- NPI assigned
- Jul 10, 2006
- Last updated
- Jul 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05440300 | NJ | Primary |
Addresses
Primary practice location
492 Communipaw Ave
Jersey City, NJ 07304-2939
Mailing address
100 Maple St
Jersey City, NJ 07304
Phone (201) 450-2522
Other names 1
- Ms. Tracie Renee Grimsley
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology and Rehab PA LLC | Current | Accepting new patients |
Locations
185 6th Ave
Paterson, NJ 07524
Phone (973) 782-5550
185 6th Ave
Ste 1
Paterson, NJ 07524
Phone (201) 655-3207
540 Straight St
Unit 2C
Paterson, NJ 07503
Phone (201) 655-3207
Organizations & group practices 2
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.
-
- Clinical Social Worker
- Jersey City, NJ
- NPI 1861958316
-
- Occupational Therapist
- Paterson, NJ
- NPI 1710575345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1316971914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MAPLE ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07304",
"telephone_number": "201-450-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "492 COMMUNIPAW AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073042939",
"telephone_number": "800-994-6242",
"fax_number": "800-994-6242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "TRACIE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05440300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACIE",
"last_name": "GRIMSLEY",
"middle_name": "RENEE",
"prefix": "MS.",
"credential": "MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.