Individual provider Active NPI

Tracy Lynn Zinanni, LCSW, ACSW, DCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1689601049
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006324 Issued in NC
Practice address
3325 Luke Crossing Dr
Charlotte, NC 28226-3359
Phone
(704) 900-6483
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904006508 VA
Clinical Social Worker 1041C0700X C006324 NC Primary

Addresses

Primary practice location

3325 Luke Crossing Dr
Charlotte, NC 28226-3359

Mailing address

3325 Luke Crossing Dr
Charlotte, NC 28226-3359
Phone (757) 206-5970

Other names 1

  • Tracy Lynn Andersen Former name

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

LicenseStateTypeSpecialty
C006324NCMDClinical Social Worker
0904006508VAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1689601049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 LUKE CROSSING DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263359",
            "telephone_number": "757-206-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 LUKE CROSSING DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263359",
            "telephone_number": "704-900-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINANNI",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LCSW, ACSW, DCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006508",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "ANDERSEN",
            "middle_name": "LYNN",
            "credential": "LCSW, ACSW, DCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.