Individual provider Active NPI

Tracy M Norris, LCSW

  • Clinical Social Worker
  • Flushing, NY
National Provider Identifier
1821269671
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
081477 Issued in NY
Practice address
14601 45TH Ave Ste 310
Flushing Hospital Mental Health Clinic
Flushing, NY 11355-2281
Phone
(718) 670-5562
NPI assigned
Mar 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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 081477 NY Primary

Addresses

Primary practice location

14601 45TH Ave Ste 310
Flushing Hospital Mental Health Clinic
Flushing, NY 11355-2281

Mailing address

10421 68TH Dr
Apt: A27
Forest Hills, NY 11375-3455
Phone (917) 864-1901

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

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1821269671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 68TH DR",
            "address_2": "APT: A27",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753455",
            "telephone_number": "917-864-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 45TH AVE STE 310",
            "address_2": "FLUSHING HOSPITAL MENTAL HEALTH CLINIC",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552281",
            "telephone_number": "718-670-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "TRACY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-20",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.