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TRACIE PENUNURI LCSW
NPI 1245666106
Social Worker - Clinical in Salt Lake City, UT

Active since September 23, 2013PECOS EnrolledAccepts Medicare Assignment
5965 S 900 E, SALT LAKE CITY, UT 84121(801) 263-7138 Get Directions Write a Review

NPPES record last updated: September 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracie Penunuri Lcsw NPPES

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

TRACIE PENUNURI LCSW (NPI 1245666106) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (354431-3501) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1245666106
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTRACIE PENUNURICredential: LCSW
Location Address5965 S 900 ESalt Lake City, UT 84121-1720
Mailing Address5965 S 900 ESalt Lake City, UT 84121-1720 · (801) 263-7138
Phone(801) 263-7138
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 23, 2013
Last NPPES UpdateSeptember 8, 2015
✔ NPI 1245666106 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 UT · 354431-3501
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.
5965 S 900 E, Salt Lake City, UT 84121
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.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

Tracie Penunuri 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 ID446482244
PECOS Enrollment IDI20140409001955
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 84121 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 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 20

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

MS. CRYSTAL RENEE COX LPN
Licensed Practical Nurse
5965 S 900 E
SALT LAKE CITY, UT 84121
Salt Lake County (801) 263-7100
MR. TIM T MCDONALD
Community Health Worker
5965 S 900 E
SALT LAKE CITY, UT 84121
Salt Lake County (801) 743-6150
STEVEN ALEC JENSEN
Counselor
5965 S 900 E
SALT LAKE CITY, UT 84121
Salt Lake County (801) 263-7100
AUSTIN GIOVE
Counselor
5965 S 900 E
SALT LAKE CITY, UT 84121
Salt Lake County (801) 263-7100
DANIELLE WATSON LPN
Licensed Practical Nurse
5965 S 900 E
SALT LAKE CITY, UT 84121
Salt Lake County (801) 263-7100
SUSAN ELIZABETH HAWKINS
Registered Nurse
5965 S 900 E
SALT LAKE CITY, UT 84121
Salt Lake County (801) 263-7100
JILL SORENSEN
Counselor
5965 S 900 E
MURRAY, UT 84121
Salt Lake County (801) 263-7138
MIRA WISWELL
Counselor
5965 S 900 E
MURRAY, UT 84121
Salt Lake County (801) 263-7138

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 Penunuri's NPI number?

The NPI number for Tracie Penunuri is 1245666106. It was assigned to this individual provider in the NPPES registry on September 23, 2013.

Where is Tracie Penunuri located?

Tracie Penunuri practices at 5965 S 900 E, Salt Lake City, UT 84121. The listed phone number is (801) 263-7138.

What is Tracie Penunuri's specialty?

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

Is Tracie Penunuri enrolled in Medicare?

Yes. Tracie Penunuri is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tracie Penunuri accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Tracie Penunuri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracie Penunuri was last updated on September 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.