Tracy Ann Goldberg, MSW
Individual provider Active NPI Clinical Social Worker · West End, NC
NPI 1376673947 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376673947
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P (NC)
- Practice address
- 241 Grant Street
West End, NC 27376 - Phone
- (910) 673-3535
- Fax
- (910) 673-3535
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- University of Pittsburgh School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anchor Psychological and Counseling Services PLLC
Practice addresses (Care Compare)
1442 Military Cutoff Rd
Unit B
Wilmington, NC 28403-3605
Phone (910) 270-9995
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160824002604 | NC | Practitioner - Clinical Social Worker | 5799070116 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Psychological & Counseling Services PLLC | Current |
Accepting new patients |
Locations
16581 US Highway 17
Ste 600
Hampstead, NC 28443
Phone (910) 270-9995
1442 Military Cutoff Rd
Unit B
Wilmington, NC 28403
Phone (252) 822-4150
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P | NC | Yes |
Addresses
Primary practice location
241 Grant Street
West End, NC 27376
Mailing address
4 Pierce Place
Pinchurst, NC 28374
Phone (910) 571-6639
Other providers in West End, NC
- Firsthealth of the Carolinas, Inc.
- Firsthealth of the Carolinas, Inc.
- Ronald David Franklin
- Ariel Gardner
- Ryan Garner
- Kerry Goldman
- Stephanie Graves
- Kimberly G Greer
- John Mark Griffies
- Emily Fancher Grimaldi
All providers in West End, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.