TRACEY F KUNKIN L.M.S.W.
NPI 1265656326
Social Worker - Clinical in Staten Island, NY
About Tracey F Kunkin L.m.s.w. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACEY F KUNKIN L.M.S.W. (NPI 1265656326) is an individual clinical provider in Staten Island, New York, licensed in New York (066954-1) and active in the NPI registry since April 2007. She has opted out of Medicare through May 24, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Tracey F Kunkin L.m.s.w. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 24, 2017 through May 24, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10308
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 Kunkin's NPI number?
The NPI number for Tracey Kunkin is 1265656326. It was assigned to this individual provider in the NPPES registry on April 12, 2007.
Where is Tracey Kunkin located?
Tracey Kunkin practices at 3974 Amboy Rd 3rd Fl, Staten Island, NY 10308. The listed phone number is (718) 984-5050.
What is Tracey Kunkin's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Tracey Kunkin enrolled in Medicare?
No. Tracey Kunkin has opted out of Medicare through May 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Tracey Kunkin was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Tracey F Kunkin, L.M.S.W. · NPI 1265656326
Clinical provider in Staten Island, New York. Individual provider, active in the CMS NPPES registry since April 12, 2007.
## Identity
- **NPI:** 1265656326 (Entity type: Individual)
- **Enumerated:** April 12, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 066954-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3974 AMBOY RD, 3RD FL, Staten Island, NY 10308-2414
- **Phone:** (718) 984-5050 · **Fax:** (718) 984-5165
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 24, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1265656326) · Data from the CMS NPPES public registry.