MEDICARE: MRS. TRACYE TAYLOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C018864	NC
2	1041C0700X	Clinical Social Worker	6803079372	MI

General Provider Information

NPI Number	:	1538363700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TRACYE TAYLOR

Provider Business Mailing Address
First Line	:	2908 WEATHERSBY DR
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-9825
Country	:	US
Telephone Number	:	313-727-5562
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 PINETREE DR STE A
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-4430
Country	:	US
Telephone Number	:	252-288-4045
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	09/18/2025

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