Tracy Chauna Mairs, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076134 Issued in NY

Practice address

6 Gramatan Ave
Suite 401 - C/O WJCS
Mount Vernon, NY 10550-3208

Phone

(914) 668-8938

Fax

(914) 668-2545

NPI assigned

Jun 1, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• The Guidance Center of Westchester, Inc

  • Community/Behavioral Health Agency
  • Mount Vernon, NY
  • NPI 1861506974
  Medicare reassignment NPD
• The Guidance Center of Westchester

  • Community/Behavioral Health Agency
  • Mount Vernon, NY
  • NPI 1285218073
  NPD (past)

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1841551272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GRAMATAN AVE",
            "address_2": "SUITE 401",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503208",
            "telephone_number": "914-668-8938",
            "fax_number": "914-668-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 GRAMATAN AVE",
            "address_2": "SUITE 401 - C/O WJCS",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503208",
            "telephone_number": "914-668-8938",
            "fax_number": "914-668-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIRS",
        "first_name": "TRACY",
        "middle_name": "CHAUNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-01",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Medical PC
• Mahinderjit Singh Medical Practice P.C
• Shahriar Mahmoudiani, MD
• Kaycia S Mahon
• Jamilah Maiga
• Eric Makolo, MD
• Andrea Malcolm, REGISTER NURSE
• Zoe Malliaros
• Marisol Mancebo
• Mark G Mandato, D.P.M.

• Clinical Social Worker in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.