Active NPI
Tracey R Hance, LCSW-C
- Clinical Social Worker
- Prince Frederick, MD
National Provider Identifier
1992089494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12498
- Practice address
- 975 Solomons Island Rd N
Prince Frederick, MD 20678-3917 - Phone
- (410) 535-5400
- Fax
- (410) 414-9413
- NPI assigned
- Oct 3, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12498 | MD | Primary |
Addresses
Primary practice location
975 Solomons Island Rd N
Prince Frederick, MD 20678-3917
Mailing address
PO Box 980
Prince Frederick, MD 20678-0980
Phone (410) 535-5400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12498 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1992089494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206780980",
"telephone_number": "410-535-5400",
"fax_number": "410-414-9413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 SOLOMONS ISLAND RD N",
"city": "PRINCE FREDERICK",
"state": "MD",
"postal_code": "206783917",
"telephone_number": "410-535-5400",
"fax_number": "410-414-9413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCE",
"first_name": "TRACEY",
"middle_name": "R",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prince Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.