Active NPI
Tracy E Fee, LCSW
- Clinical Social Worker
- Wilmington, NC
National Provider Identifier
1669567442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003229
- Practice address
- 5617 Maxwell PL
Wilmington, NC 28409-2966 - Phone
- (910) 742-9243
- Fax
- (888) 746-1787
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
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 | C003229 | NC | Primary |
Addresses
Primary practice location
5617 Maxwell PL
Wilmington, NC 28409-2966
Mailing address
PO Box 16310
Wilmington, NC 28408-6310
Phone (910) 742-9243
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800014118 | Other | NC | RR MEDICARE # - PARADIGM |
| 6003261 | Medicaid | NC |
Other names 1
- Tracy E Snead
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C003229 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifesource of North Carolina | Clinical | Current | Accepting new patients |
| Lifesource of North Carolina | Clinical | Current | Accepting new patients |
| Paradigm Health Services, Inc | Clinical | Past | Accepting new patients |
Locations
3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880
Organizations & group practices 3
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": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1669567442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16310",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284086310",
"telephone_number": "910-742-9243",
"fax_number": "888-746-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5617 MAXWELL PL",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284092966",
"telephone_number": "910-742-9243",
"fax_number": "888-746-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEE",
"first_name": "TRACY",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003229",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE # - PARADIGM",
"identifier": "800014118",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003261",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "SNEAD",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.