MRS. TRACY D'ANDREA CHARLES (NPI# 1790182251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790182251 |
| Entity Type | Individual |
| Full Name | MRS. TRACY D'ANDREA CHARLES |
| Credential | LCSW |
| Practice Address |
520a Arbor Hill Rd Kernersville NC 27284 |
| Mailing Address |
4731 Seminole Ct Winston Salem NC 27127-9432 |
| Practice Telephone | 3362833830 |
| Practice Fax Number | 3362833827 |
| Mailing Telephone | 3364201885 |
| Enumeration Date | 2014-11-28 |
| Last Update Date | 2018-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C009820 | NC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 234c E Washington St, Greensboro, NC 274012704 | 3364201885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366800526 | Tracy Charles | Counselor | 6037 N 11th St, Philadelphia, PA 19141-3201 | 2016-02-03 |
| 1902925076 | Tracy Denise Charles | Anesthesiology | 27574 Commerce Center Dr, Suite 236, Temecula, CA 92590-2500 | 2007-03-28 |
| Street Address |
520A ARBOR HILL RD |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721885 | Jessica Tucker Mitchell | Counselor | 520a Arbor Hill Rd, Kernersville, NC 27284-3346 | 2020-02-07 |
| 1154965861 | Shelby Gabello | Counselor | 520a Arbor Hill Rd, Kernersville, NC 27284-3346 | 2019-11-05 |
| 1043781891 | Paige Marie Campbell | Counselor | 520a Arbor Hill Rd, Kernersville, NC 27284-3346 | 2018-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043861693 | Marquita P Laughlin | Social Worker | 7745 Fording Bridge Rd, Kernersville, NC 27284-6343 | 2019-09-25 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1740622190 | Jennifer Westbrook | Social Worker | 311 Salisbury St Apt 72, Kernersville, NC 27284-2997 | 2013-07-26 |
| 1740528215 | Jamie L Vaughn | Social Worker | 4102 Broadwater Dr, Kernersville, NC 27284-3872 | 2013-01-17 |
| 1134496102 | Stephanie L Justice | Social Worker | 1229 John Austin Ct, Kernersville, NC 27284-3764 | 2011-11-18 |
| 1346576642 | Theresha Hill | Social Worker | 4565 Vernon Farms Blvd, Kernersville, NC 27284-0130 | 2009-10-22 |
| 1023129152 | Tywan J Lindsey | Social Worker | 1730 Kernersville Medical Pkwy Ste 101, Kernersville, NC 27284-7198 | 2006-08-31 |
| 1306884564 | David Lawton Benson | Social Worker | 125 Allen St, Kernersville, NC 27284 | 2006-06-02 |
| 1851907166 | Grace Ellen Ligon | Social Worker | 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 | 2020-09-22 |
| 1992354468 | Elizabeth Burleigh | Social Worker | 520 Arbor Hill Rd, Kernersville, NC 27284-3346 | 2019-09-08 |
| Find all providers in KERNERSVILLE | ||||
| City | KERNERSVILLE |
| Zip Code | 27284 |
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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.