Individual provider Active NPI

Tracy Noel Adair, LISW-CP

  • Clinical Social Worker
  • Spartanburg, SC
National Provider Identifier
1740887082
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12178 Issued in SC
Practice address
460 Langdon St
Spartanburg, SC 29302-1614
Phone
(864) 582-2411
NPI assigned
Oct 8, 2020
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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 12178 SC Primary

Addresses

Primary practice location

460 Langdon St
Spartanburg, SC 29302-1614

Mailing address

100 Washington PL
Spartanburg, SC 29302-1295
Phone (864) 515-9922

Other practice location 1

100 Washington Pl
Spartanburg, SC 29302-1295
Phone (864) 515-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250228002150 SC Practitioner - Clinical Social Worker 3072033455 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12178SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Nov 16, 2024 Accepting new patients
Children's Advocacy Center of Spartanburg PastSince Oct 1, 2020 Accepting new patients

Locations

460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817

750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829

301 Crescent Ave
Spartanburg, SC 29306
Phone (864) 582-2817

115 Thomas St
#B
Union, SC 29379

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1740887082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WASHINGTON PL",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021295",
            "telephone_number": "864-515-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 LANGDON ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021614",
            "telephone_number": "864-582-2411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Washington Pl",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293021295",
            "country_code": "US",
            "telephone_number": "864-515-9922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAIR",
        "first_name": "TRACY",
        "middle_name": "NOEL",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.