Individual provider Active NPI

Tracey Hunter, LCSW

  • Clinical Social Worker
  • Spring Hill, TN
National Provider Identifier
1982798666
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3011 Harrah Dr Ste I
Spring Hill, TN 37174-6255
Phone
(931) 626-2293
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3011 Harrah Dr Ste I
Spring Hill, TN 37174-6255

Mailing address

PO Box 215
Thompsons Station, TN 37179-0215
Phone (931) 626-2293

Other identifiers 1

IdentifierTypeStateIssuer
004945182MedicaidVA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100607000518 TN Practitioner - Clinical Social Worker 1850421561 Practice locations: Spring Hill, TN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3011 Harrah Dr
Suite M
Spring Hill, TN 37174-6255
Phone (931) 626-2293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5153TNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1982798666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "THOMPSONS STATION",
            "state": "TN",
            "postal_code": "371790215",
            "telephone_number": "931-626-2293",
            "fax_number": "931-451-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 HARRAH DR STE I",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371746255",
            "telephone_number": "931-626-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "TRACEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945182",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

Verify at the official NPI Registry.