Active NPI
Tracy Flagg, LMSW-CC
- Clinical Social Worker
- Hiram, ME
National Provider Identifier
1699383315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MC17988
- Practice address
- Sacopee Valley Middle School
137 South Hiram Rd
Hiram, ME 04041 - Phone
- (207) 625-2450
- NPI assigned
- Jul 20, 2020
- Last updated
- Jul 20, 2020
- 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 | MC17988 | ME | Primary |
Addresses
Primary practice location
Sacopee Valley Middle School
137 South Hiram Rd
Hiram, ME 04041
Mailing address
Sacopee Valley Middle School
137 South Hiram Rd
Hiram, ME 04041
Phone (207) 625-2450
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 |
|---|---|---|---|
| MC17988 | ME | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1699383315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SACOPEE VALLEY MIDDLE SCHOOL",
"address_2": "137 SOUTH HIRAM RD",
"city": "HIRAM",
"state": "ME",
"postal_code": "04041",
"telephone_number": "207-625-2450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SACOPEE VALLEY MIDDLE SCHOOL",
"address_2": "137 SOUTH HIRAM RD",
"city": "HIRAM",
"state": "ME",
"postal_code": "04041",
"telephone_number": "207-625-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAGG",
"first_name": "TRACY",
"credential": "LMSW-CC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "MC17988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hiram, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.