Organization Active NPI

Tracey Fray LCSW

  • Clinical Social Worker
  • Sarasota, FL
National Provider Identifier
1336594258
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 117445 Issued in FL
Legal business name
TRACEY FRAY LCSW
Practice address
5104 N Lockwood Ridge Rd
Sarasota, FL 34234-3311
Phone
(810) 824-8516
Fax
(941) 343-2743
NPI assigned
Apr 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Tracey FrayNPI 1831398783
Title
LCSW
Phone
(810) 824-8516

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW 117445 FL Primary

Addresses

Primary practice location

5104 N Lockwood Ridge Rd
Sarasota, FL 34234-3311

Mailing address

29184 Orangewood St
Punta Gorda, FL 33982-8557
Phone (810) 824-8516

Other identifiers 1

IdentifierTypeStateIssuer
SW 11745OtherFLLICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1336594258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29184 ORANGEWOOD ST",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339828557",
            "telephone_number": "810-824-8516",
            "fax_number": "941-343-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 N LOCKWOOD RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342343311",
            "telephone_number": "810-824-8516",
            "fax_number": "941-343-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY FRAY LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "FRAY",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "810-824-8516"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 117445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SW 11745",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.