Traci Schott, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW 4117 Issued in TN

Practice address

45 Executive Dr
Jackson, TN 38305-2337

Phone

(731) 664-2083

Fax

(731) 664-1988

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Traci Chapman Former name

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Clinical Social Worker

Education

University of Tennessee, HSC, College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Feed Your Soul LLC

  • Clinical Social Worker
  • Jackson, TN
  • NPI 1215410816
  Medicare reassignment NPD Authorized official
• Mental Health Centers & Clinics of Tennessee

  • Mental Health Counselor
  • Bolivar, TN
  • NPI 1255442794
  NPD (past)
• Thrive West Tennessee

  • Clinical Social Worker
  • Jackson, TN
  • NPI 1790472397
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1932217783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 W FOREST AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383013807",
            "telephone_number": "731-664-2083",
            "fax_number": "731-664-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 EXECUTIVE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052337",
            "telephone_number": "731-664-2083",
            "fax_number": "731-664-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOTT",
        "first_name": "TRACI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW 4117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1504902",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "4052003",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA RAILROAD RETIREMENT",
            "identifier": "P00010236",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "CHAPMAN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ramona Phelan Scarborough, FNP
• Allen L Schlamp, M.D.
• Chelsea Noel Schmidt, FNP
• Roy A Schmidt, M. D.
• Tinisha Nicole Schmidt, B.S
• Praful Schroff, MBBS, MPH
• Hans D Schubert, DO
• Lauren Schultz, PA-C
• Chalene Michelle Scott
• Debra Ann Scott

• Clinical Social Worker in Jackson, TN
• Providers in Jackson, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.