Individual provider Active NPI

Traci W Pirri

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1659301448
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005156 Issued in NC
Practice address
3900 Barrett Dr
Suite 311-F
Raleigh, NC 27609-6641
Phone
(919) 368-5921
Fax
(919) 871-0575
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C005156 NC Primary

Addresses

Primary practice location

3900 Barrett Dr
Suite 311-F
Raleigh, NC 27609-6641

Mailing address

4500 Oakshyre Way
Raleigh, NC 27616-0701
Phone (919) 368-5921

Other identifiers 1

IdentifierTypeStateIssuer
6106201MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2020 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope for the Journey Enterprises LLC. Current Accepting new patients

Locations

4131 Spicewood Springs Rd
Ste L1
Austin, TX 78759
Phone (512) 400-4790

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1659301448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 OAKSHYRE WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276160701",
            "telephone_number": "919-368-5921",
            "fax_number": "919-871-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 BARRETT DR",
            "address_2": "SUITE 311-F",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096641",
            "telephone_number": "919-368-5921",
            "fax_number": "919-871-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRRI",
        "first_name": "TRACI",
        "middle_name": "W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106201",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.