Tracy Woods-Sam

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

33-215382 Issued in MD

Practice address

6778 Lantana Dr
Bryans Road, MD 20616-4227

Phone

(301) 242-3229

Fax

(202) 217-4225

NPI assigned

Mar 27, 2025

Last updated

Mar 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1407659493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SHINING WILLOW WAY STE 20034",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206464224",
            "telephone_number": "301-242-3229",
            "fax_number": "202-217-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6778 LANTANA DR",
            "city": "BRYANS ROAD",
            "state": "MD",
            "postal_code": "206164227",
            "telephone_number": "301-242-3229",
            "fax_number": "202-217-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS-SAM",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MD",
            "license": "33-215382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Bryans Road, MD
• Providers in Bryans Road, MD by specialty
• Case Manager/Care Coordinator in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.