DR. TRACY GIBSON (NPI# 1427691807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427691807 |
| Entity Type | Individual |
| Full Name | DR. TRACY GIBSON |
| Credential | LGSW, LMSW, LCSWA |
| Practice Address |
14969 Santa Lucia Dr Charlotte NC 28277-3382 |
| Mailing Address |
Po Box 473864 Charlotte NC 28247-3864 |
| Practice Telephone | 5405772400 |
| Mailing Telephone | 7044121896 |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2020-01-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | P014226 | NC | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 13362 | SC | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 4680G | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497019574 | Tracy Melanie Gibson | Specialist | 454 Nostrand Avenue, Brookyln, NY 11216 | 2012-07-03 |
| 1194930867 | Tracy Gibson | Specialist | 3345 Tori Trail Ln, West Paducah, KY 42086-9859 | 2007-05-14 |
| 1700152394 | Tracy A Gibson | Dentist | 975 Easton Rd, Suite 101, Warrington, PA 18976-1858 | 2012-03-28 |
| 1992932891 | Tracy Baptiste Gibson | Physical Therapist | 520 Prospect Ave, West Orange, NJ 07052-3229 | 2009-06-18 |
| 1700896685 | Tracy Gibson | Advanced Practice Midwife | 500 S 11th Ave, Suite 402, Pocatello, ID 83201-4835 | 2006-08-09 |
| Street Address |
14969 SANTA LUCIA DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-3382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772942 | Sharelle Johnson | Social Worker | 5304 Firelight Ln Unit E, Charlotte, NC 28212-2277 | 2020-08-25 |
| 1902423924 | Jacob Wiltshire | Social Worker | 101 E Wt Harris Blvd Ste 5500, Charlotte, NC 28262-3485 | 2020-06-26 |
| 1730705294 | Armani Vance | Social Worker | 3016 Phillips Fairway Dr, Charlotte, NC 28216-6807 | 2020-06-22 |
| 1033734991 | Delia Sumter | Social Worker | 2113 Speedwell Court, Charlotte, NC 28213-4228 | 2020-06-16 |
| 1518598531 | Debra S Somervill Lmsw LLC | Social Worker | 1214 S Cochran Ave, Charlotte, MI 48813-2206 | 2020-01-29 |
| 1164079703 | Janelle Marie Spikes | Social Worker | 9727 Cayenne Dr, Charlotte, NC 28214-0105 | 2019-08-19 |
| 1295396695 | Tami Graven Dietz | Social Worker | 9719 Aragorn Ln Nw, Charlotte, NC 28269-6998 | 2019-06-26 |
| 1952967457 | Keyana Moore | Social Worker | 12419 Old Timber Rd, Charlotte, NC 28269-8709 | 2019-05-10 |
| 1467919373 | Miranda Gail Fetherson | Social Worker | 514 Frank Dr, Charlotte, NC 28215-2113 | 2019-02-27 |
| 1821564592 | Sharnella Teanna Mccrae | Social Worker | 974 Plaza Walk Dr, Charlotte, NC 28215-1861 | 2018-10-19 |
| Find all providers in CHARLOTTE | ||||
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| 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.