Active NPI
Tracy Merchison
- Clinical Social Worker
- Miami Gardens, FL
National Provider Identifier
1477466779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 20535 NW 2ND Ave Ste 210
Miami Gardens, FL 33169-2547 - Phone
- (305) 904-5579
- NPI assigned
- Sep 26, 2026
- Last updated
- Sep 28, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 | FL | Primary |
Addresses
Primary practice location
20535 NW 2ND Ave Ste 210
Miami Gardens, FL 33169-2547
Mailing address
20535 NW 2ND Ave Ste 210
Miami, FL 33169-2547
Phone (305) 904-5579
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
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami Gardens, FL
- NPI 1548173842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790553600000",
"number": "1477466779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20535 NW 2ND AVE STE 210",
"city": "MIAMI",
"state": "FL",
"postal_code": "331692547",
"telephone_number": "305-904-5579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20535 NW 2ND AVE STE 210",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "331692547",
"telephone_number": "305-904-5579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCHISON",
"first_name": "TRACY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-26",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.