Active NPI
Tracy Clark Woodard, MS, LMFT
- Marriage & Family Therapist
- Barrington, RI
National Provider Identifier
1891844098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 00089
- Practice address
- 15 Fireside Dr
Barrington, RI 02806-3222 - Phone
- (401) 737-0820
- NPI assigned
- Jan 9, 2007
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 00089 | RI | Primary |
Addresses
Primary practice location
15 Fireside Dr
Barrington, RI 02806-3222
Mailing address
15 Fireside Dr
Barrington, RI 02806-3222
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023290 | Other | RI | BEACON HEALTH STRATEGIES |
| FM49638 | Medicaid | RI | |
| 30197-6 | Other | RI | BLUE CROSS |
| 410039 | Other | RI | BLUE CHIP |
| 6229042 | Other | RI | UNITED HEALTH |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00089 | RI | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891844098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 FIRESIDE DR",
"city": "BARRINGTON",
"state": "RI",
"postal_code": "028063222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 FIRESIDE DR",
"city": "BARRINGTON",
"state": "RI",
"postal_code": "028063222",
"telephone_number": "401-737-0820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "TRACY",
"middle_name": "CLARK",
"credential": "MS, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "RI",
"license": "00089",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH STRATEGIES",
"identifier": "1023290",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FM49638",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "30197-6",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "410039",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "6229042",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barrington, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.