| Tracee Gregory, MSW, LCSW | |
| 
					833 Wake Forest Business Park, Suite G, Wake Forest, NC 27587-7184  | |
| (919) 554-1231 | |
| (919) 554-2406 | 
| Full Name | Tracee Gregory | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 833 Wake Forest Business Park, Wake Forest, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1003827031 | NPI | - | NPPES | 
| 135NX | Other | NC | BLUE CROSS/ BLUE SHIELD | 
| 6002724 | Medicaid | NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C004553 (North Carolina) | Primary | 
| Entity Name | Transformation Health Services Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1508373812 PECOS PAC ID: 2567795628 Enrollment ID: O20190605002280  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tracee Gregory, MSW, LCSW Po Box 1166, Wake Forest, NC 27588-1166 Ph: (919) 554-1231  | Tracee Gregory, MSW, LCSW 833 Wake Forest Business Park, Suite G, Wake Forest, NC 27587-7184 Ph: (919) 554-1231  | 
Courtney Michelle Myrick,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1748 Heritage Center Dr, Wake Forest, NC 27587 Phone: 919-529-5920  | |
Carolina Ramirez, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3745 Willow Stone Ln, Wake Forest, NC 27587 Phone: 646-244-1629  | |
Minnie Simmons Vickers, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2000 S Main St, Wake Forest, NC 27587 Phone: 919-521-0665  | |
Chantelle Irankunda, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1748 Heritage Center Dr Ste 101, Wake Forest, NC 27587 Phone: 919-529-5933  | |
Mrs. Angela Karen Bridges, M.S.W., L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7304 Mithrasdowne Ct, Wake Forest, NC 27587 Phone: 919-671-3317 Fax: 919-761-1244  | |
Ms. Michelle Kathlyn Bates, MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 120 Capcom Ave Ste 101, Wake Forest, NC 27587 Phone: 919-792-3967 Fax: 919-761-5026  |