Active NPI
Traci Thomas, LCSW
- Social Worker
- Danville, PA
National Provider Identifier
1942711692
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Sep 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- CW016359
- Practice address
- 1083 Bloom Rd Apt 105
Danville, PA 17821-6789 - Phone
- (570) 961-3361
- Fax
- (570) 961-3364
- NPI assigned
- Oct 21, 2017
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | CW016359 | PA | Primary |
Addresses
Primary practice location
1083 Bloom Rd Apt 105
Danville, PA 17821-6789
Mailing address
4101 Birney Ave
Moosic, PA 18507-1323
Phone (570) 961-3361
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW016359 | PA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1942711692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4101 BIRNEY AVE",
"city": "MOOSIC",
"state": "PA",
"postal_code": "185071323",
"telephone_number": "570-961-3361",
"fax_number": "570-961-3364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1083 BLOOM RD APT 105",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178216789",
"telephone_number": "570-961-3361",
"fax_number": "570-961-3364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "TRACI",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-21",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "CW016359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.