TRACY ANN MERRIAM LCSW
NPI 1104572288
Social Worker - Clinical in Bandon, OR

Active since February 26, 2022PECOS EnrolledAccepts Medicare Assignment
110 10TH ST SE, BANDON, OR 97411(541) 347-5191(541) 266-4578 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 12, 2024, Apr 8, 2022, Feb 26, 2022 (3 updates tracked since 2022).

About Tracy Ann Merriam Lcsw NPPES

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

TRACY ANN MERRIAM LCSW (NPI 1104572288) is an individual clinical provider in Bandon, Oregon, licensed in Oregon (3420) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Coos Bay, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1104572288
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTRACY ANN MERRIAMCredential: LCSW
Location Address110 10TH ST SEBandon, OR 97411-9157
Mailing Address1900 Woodland DrCoos Bay, OR 97420-2099 · (541) 267-5151
Fax(541) 266-4578
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 26, 2022
Last NPPES UpdateJune 12, 20243 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
NPI 1104572288 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 OR · 3420
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.

110 10TH ST SE, Bandon, OR 97411

Secondary Practice Location 1

Location 11900 Woodland DrCoos Bay, OR 97420-2099 · Phone (541) 267-5151

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tracy Ann Merriam Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800784505
PECOS Enrollment IDI20040305000082
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
56 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97411 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 $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Primary Care)
110 10TH ST SE
BANDON, OR 97411
Nurse Practitioner
110 10TH ST SE
BANDON, OR 97411
Family Medicine
110 10TH ST SE
BANDON, OR 97411
Nurse Practitioner (Family)
110 10TH ST SE
BANDON, OR 97411
Nurse Practitioner (Family)
110 10TH ST SE
BANDON, OR 97411
Nurse Practitioner (Family)
110 10TH ST SE
BANDON, OR 97411

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104572288, enumerated as an "individual" on February 26, 2022.

The provider is located at 110 10TH ST SE BANDON, OR 97411 and the phone number is (541) 347-5191.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.,. Please consult your insurance carrier or call the provider to verify.