Adirondack Counseling Traci Phillips LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ADIRONDACK COUNSELING TRACI PHILLIPS LCSW PLLC

Practice address

699 Glen St
Queensbury, NY 12804-2014

Phone

(518) 321-1380

Fax

(518) 797-1599

NPI assigned

Mar 30, 2023

Last updated

Sep 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Traci Phillips, LCSW

Title

Owner

Phone

(518) 321-1380

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Traci Lee Phillips-Perkins, LCSW-R

  • Clinical Social Worker
  • Queensbury, NY
  • NPI 1295027217
  Medicare reassignment NPD
• Heather Fredericks

  • Social Worker
  • Queensbury, NY
  • NPI 1306521778
  NPD

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758412800000",
    "number": "1548964745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 GLEN ST",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128042014",
            "telephone_number": "518-321-1380",
            "fax_number": "518-797-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 GLEN ST",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128042014",
            "telephone_number": "518-321-1380",
            "fax_number": "518-797-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK COUNSELING TRACI PHILLIPS LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2025-09-21",
        "certification_date": "2025-09-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-321-1380",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Ann Abbott, NYS LMT
• Alexis Christine Adams, LMSW
• Ashley Marie Adams, PMHNP-BC
• Adirondack Advance Imaging LLC
• Adirondack Cardiology Associates PC
• Adirondack Cross Roads Psychology PLLC
• Adirondack Diagnostic Imaging of Queensbury
• Adirondack Enrichment
• Adirondack Enrichment
• Adirondack Enrichment, a Speech Pathology Occupational Therapy and Phy

• Clinical Social Worker in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.