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TRACIE PRELI-DERWIN, LCSW, PLLC
NPI 1124608054
Social Worker - Clinical in Southington, CT

Active since April 13, 2021
266 MERIDEN AVE, SOUTHINGTON, CT 06489(860) 414-3200(860) 414-3625 Get Directions Write a Review

NPPES record last updated: April 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tracie Preli-derwin, Lcsw, Pllc NPPES

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

TRACIE PRELI-DERWIN, LCSW, PLLC (NPI 1124608054) is a healthcare organization registered as a clinical in Southington, Connecticut and active in the NPI registry since April 2021. The organization lists Tracie L Preli-derwin, Owner, as its authorized official.

NPPES Registry Identity

NPI1124608054
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTRACIE PRELI-DERWIN, LCSW, PLLC
Location Address266 MERIDEN AVESouthington, CT 06489-3629
Mailing Address125 Main Street Po Box 647Southington, CT 06489-9998 · (860) 414-3200 · Fax (860) 414-3625
Phone(860) 414-3200
Fax(860) 414-3625
Organization SubpartNo
Authorized OfficialTracie L Preli-derwinOwner · (860) 414-3200
Enumeration DateApril 13, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1124608054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
266 MERIDEN AVE, Southington, CT 06489
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracie Preli-derwin, Lcsw, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tracie Preli-Derwin, Lcsw, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tracie Preli-Derwin
Clinical Social Worker
NPI 1497014344
96 CONNECTICUT BLVD
East Hartford, CT 06108
(860) 502-4908
✔ PECOS17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tracie Preli-Derwin, Lcsw, PLLC's NPI number?

The NPI number for Tracie Preli-Derwin, Lcsw, PLLC is 1124608054. It was assigned to this organization in the NPPES registry on April 13, 2021.

Where is Tracie Preli-Derwin, Lcsw, PLLC located?

Tracie Preli-Derwin, Lcsw, PLLC is located at 266 Meriden Ave, Southington, CT 06489. The listed phone number is (860) 414-3200.

What is Tracie Preli-Derwin, Lcsw, PLLC's specialty?

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

Is Tracie Preli-Derwin, Lcsw, PLLC enrolled in Medicare?

Yes. Tracie Preli-Derwin, Lcsw, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tracie Preli-Derwin, Lcsw, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Tracie Preli-Derwin, Lcsw, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tracie Preli-Derwin, Lcsw, PLLC was last updated on April 13, 2021. 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.