TRACEE GREGORY


Address: 833 Wake Forest Business Park, Suite G, Wake Forest, NC 27587-7184
Phone: 9195541231

TRACEE GREGORY (NPI# 1003827031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003827031
Entity Type Individual
Full Name TRACEE GREGORY
Credential MSW, LCSW
Practice Address 833 Wake Forest Business Park
Suite G
Wake Forest
NC 27587-7184
Mailing Address Po Box 1166
Wake Forest
NC 27588-1166
Practice Telephone 9195541231
Practice Fax Number 9195542406
Mailing Telephone 9195541231
Mailing Fax Number 9195542406
Enumeration Date 2006-08-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
C004553 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 6002724 05
NC BLUE CROSS/ BLUE SHIELD 135NX 01

Office Location

Street Address 833 WAKE FOREST BUSINESS PARK
SUITE G
City WAKE FOREST
State NC
Zip Code 27587-7184

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538113212 Jennifer B Wicks Physical Therapy Assistant 833 Wake Forest Business Park, Suite D, Wake Forest, NC 27587-6523 2006-05-19
1013255306 Milestones Counseling, Pllc Social Worker 833 Wake Forest Business Park, Suite D, Wake Forest, NC 27587-6523 2013-01-22
1700042322 Kathryn Mills Roberts Speech-Language Pathologist 833 Wake Forest Business Park, Suite D, Wake Forest, NC 27587-6523 2008-08-04
1659532711 Pamela Kitzman Schulze Physical Therapist 833 Wake Forest Business Park, Suite D, Wake Forest, NC 27587-1245 2008-06-21
1033376959 Wake Foot and Ankle Center Pllc Podiatrist 833 Wake Forest Business Park, Ste C, Wake Forest, NC 27587-6519 2008-05-19
1508030305 Patricia Christine Alston-daye Counselor 833 Wake Forest Business Park, Wake Forest, NC 27587-6523 2008-04-14
1083812481 Innovative Therapy and Consulting, Inc Counselor 833 Wake Forest Business Park, Suite G, Wake Forest, NC 27587-7184 2007-07-06
1770707911 Elizabeth Conroy Counselor 833 Wake Forest Business Park, Wake Forest, NC 27587-6523 2007-04-12
1366583346 Kelly Sullivan Ruta Social Worker 833 Wake Forest Business Park, Suite D, Wake Forest, NC 27587-6523 2007-02-10
1558315770 Leah Lynn Swain Occupational Therapy Assistant 833 Wake Forest Business Park, Suite D, Wake Forest, NC 27587-6523 2006-05-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831713080 Catherine Restrepo Speech-Language Pathologist 900 S Franklin St, Ste 201, Wake Forest, NC 27587 2020-06-03
1942760277 Samantha Fae Pugh Occupational Therapist 200 Dr. Calvin Jones Hwy, Suite 200, Wake Forest, NC 27587 2019-03-22
1851863609 The Counseling Collective Counselor 1764 Heritage Center Drive, 204, Wake Forest, NC 27587 2018-12-18
1891270856 Halston Hoke Speech-Language Pathologist 620 Dr. Calvin Jones Hwy Ste 200, Wake Forest, NC 27587 2018-09-26
1710465620 Amy K Tarnowski Physical Therapist The Lodge At Wake Forest, 1151 South Main Street, Wake Forest, NC 27587 2018-08-02
1518452341 Language and Literacy 365, Pllc Speech-Language Pathologist 956 Templeridge Rd, Wake Forest, NC 27587 2018-06-25
1467951723 Justin Mitchell Physical Therapist 843 Durham Rd Suite 110, Wake Forest, NC 27587 2018-02-01
1124544499 Carolina Concussion & Physical Medicine, Pllc Chiropractor 120 Capcom Aveune, Suite 104, Wake Forest, NC 27587 2017-08-18
1902293889 Katherine Armine Lorch Student in an Organized Health Care Education/Training Program 3000 Rogers Road Ste 210, Wake Forest, NC 27587 2015-04-18
1437553302 Raleigh Durham Medical Group, Pa Family Medicine 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 2014-10-21
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700411931 Nicole Tai Social Worker 3664 Genesis Ln, Wake Forest, NC 27587-6088 2020-03-09
1275164196 Annie's House, LLC Social Worker 1784 Heritage Center Dr Ste 204-h, Wake Forest, NC 27587-3989 2020-01-29
1780172890 Susan White Social Worker 504 Walters Dr, Wake Forest, NC 27587-6177 2018-04-24
1013456813 Carolina Ramirez Social Worker 3745 Willow Stone Ln, Wake Forest, NC 27587-3433 2017-02-14
1346788791 Gary S Skinner Social Worker 10580 Ligon Mill Rd # 210, Wake Forest, NC 27587-6090 2017-02-06
1629525746 Stefanie Vitale-ronde Social Worker 1900 S Main St Ste 112, Wake Forest, NC 27587-5027 2016-09-07
1912351008 Ella Zlotina Social Worker 3920 Song Sparrow Dr, Wake Forest, NC 27587-1633 2016-04-15
1598147704 Phillip White Social Worker 1213 Opeushaw Ct, Wake Forest, NC 27587-7938 2015-06-24
1790166593 Kimberly Scott, Pllc Social Worker 112 Brooks St, Wake Forest, NC 27587-2757 2015-06-17
1073923801 Hilary Leath Norris Social Worker 1613 Forest Rd, Wake Forest, NC 27587-7730 2014-05-01
Find all providers in WAKE FOREST

Competitor

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City WAKE FOREST
Zip Code 27587

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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