KRISTIN NICOLE TRACY LISW-SUPV - NPI 1073041935

Q: What is Kristin Tracy's NPI number?

The NPI number for Kristin Tracy is 1073041935. It was assigned to this individual provider in the NPPES registry on May 23, 2017.

Q: What is Kristin Tracy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Tracy was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kristin Nicole Tracy Lisw-supv NPPES

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

KRISTIN NICOLE TRACY LISW-SUPV (NPI 1073041935) is an individual clinical provider in Mentor, Ohio, licensed in Ohio (I1440505-SUPV) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073041935

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKRISTIN NICOLE TRACYCredential: LISW-SUPV

Location Address8224 MENTOR AVE STE 208Mentor, OH 44060-5743

Mailing Address8224 Mentor Ave Ste 208Mentor, OH 44060-5743 · (440) 392-2222

Phone(440) 392-2222

Sole ProprietorYes

Enumeration DateMay 23, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1073041935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OH · I1440505-SUPV

Definition

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.

8224 MENTOR AVE STE 208, Mentor, OH 44060

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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)

Kristin Nicole Tracy Lisw-supv 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.65

Typical copayment $0.00 (range $13.58 – $41.66)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.