TRACEY A. BOTHAM LCSW-R
NPI 1003912700
Social Worker in Dunkirk, NY

Q: What is Tracey Botham's NPI number?

The NPI number for Tracey Botham is 1003912700. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Tracey Botham's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Botham was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 16, 2006PECOS Enrolled

425 MAIN ST., DUNKIRK, NY 14048(716) 366-3533(716) 363-1184 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tracey A. Botham Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACEY A. BOTHAM LCSW-R (NPI 1003912700) is an individual social worker in Dunkirk, New York, licensed in New York (079070-1) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003912700

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameTRACEY A. BOTHAMCredential: LCSW-R

Location Address425 MAIN ST.Dunkirk, NY 14048

Mailing Address741 Delaware AveBuffalo, NY 14209-2201 · (716) 218-1400 · Fax (716) 332-2820

Phone(716) 366-3533

Fax(716) 363-1184

Sole ProprietorNo

Enumeration DateSeptember 16, 2006

Last NPPES UpdateOctober 20, 2020

NPPES CertifiedOctober 20, 2020

✔ NPI 1003912700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 079070-1

Definition

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.

425 MAIN ST., Dunkirk, NY 14048

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracey A. Botham Lcsw-r is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracey Botham's NPI number?

The NPI number for Tracey Botham is 1003912700. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Tracey Botham located?

Tracey Botham practices at 425 Main St., Dunkirk, NY 14048. The listed phone number is (716) 366-3533.

What is Tracey Botham's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Tracey Botham enrolled in Medicare?

Yes. Tracey Botham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracey Botham was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.