Active NPI
Tracee M Sprong, LICSW
- Clinical Social Worker
- Peabody, MA
National Provider Identifier
1821305665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 115845
- Practice address
- 65 Catherine Dr
Peabody, MA 01960-2050 - Phone
- (978) 273-2330
- NPI assigned
- Aug 31, 2010
- Last updated
- Aug 31, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 115845 | MA | Primary |
Addresses
Primary practice location
65 Catherine Dr
Peabody, MA 01960-2050
Mailing address
65 Catherine Dr
Peabody, MA 01960-2050
Phone (978) 273-2330
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 |
|---|---|---|---|
| 115845 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1821305665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 CATHERINE DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602050",
"telephone_number": "978-273-2330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 CATHERINE DR",
"city": "PEABODY",
"state": "MA",
"postal_code": "019602050",
"telephone_number": "978-273-2330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRONG",
"first_name": "TRACEE",
"middle_name": "M",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-31",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "115845",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
- Sports Medicine North Orthopaedic Surgery,Inc
- Sports Medicine North Orthopedic Surgery, Inc.
- Sports Therapy North, Inc (Foot Fitness Plus Inc)
- Makaylah Leigh Sprankle
- Krystle Marie Sprei, FNP-C
- St Marys Internal Medicine PC
- Roginald St. Fort
- Kim Marie Stamnas
- Katie Stannard, M.A
- Christopher P. Stanton, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.