Individual provider Active NPI

Tressy S McLean-Hickey, MSW, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1710274287
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006850 Issued in NC
Practice address
3421 Holt St
Charlotte, NC 28205-1225
Phone
(704) 995-2460
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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 C006850 NC Primary

Addresses

Primary practice location

3421 Holt St
Charlotte, NC 28205-1225

Mailing address

3421 Holt St
Charlotte, NC 28205-1225
Phone (704) 995-2460

Other identifiers 1

IdentifierTypeStateIssuer
6007895MedicaidNC

Other names 1

  • Ms. Tressy S McLean 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C006850NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1710274287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 HOLT ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051225",
            "telephone_number": "704-995-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 HOLT ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051225",
            "telephone_number": "704-995-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN-HICKEY",
        "first_name": "TRESSY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007895",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRESSY",
            "last_name": "MCLEAN",
            "middle_name": "S",
            "prefix": "MS.",
            "credential": "MSW, LCSW",
            "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 Apr 5, 2013; 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.