Active NPI
Tracey White
- Social Worker
- Baltimore, MD
National Provider Identifier
1689308975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 27797
- Practice address
- 1118 Light St Ste 200
Baltimore, MD 21230-4152 - Phone
- (667) 600-2879
- NPI assigned
- Jul 12, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Social Worker | 104100000X | 27797 | MD | Primary |
Addresses
Primary practice location
1118 Light St Ste 200
Baltimore, MD 21230-4152
Mailing address
1118 Light St Ste 200
Baltimore, MD 21230-4152
Phone (667) 600-2879
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | twhite@cc-md.org | Direct | |
| Direct Messaging Address | twhite@cc-md.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27797 | MD | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1689308975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 LIGHT ST STE 200",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212304152",
"telephone_number": "667-600-2879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 LIGHT ST STE 200",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212304152",
"telephone_number": "667-600-2879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "TRACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MD",
"license": "27797",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "twhite@cc-md.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1118 Light St Ste 200",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212304152",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "twhite@cc-md.org",
"affiliation": "N",
"address_1": "1118 Light St Ste 200",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212304152",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.