TRACEY F KUNKIN L.M.S.W.
NPI 1265656326
Social Worker - Clinical in Staten Island, NY

Active since April 12, 2007Opted out of Medicare · through May 24, 2027
3974 AMBOY RD, 3RD FL, STATEN ISLAND, NY 10308(718) 984-5050(718) 984-5165 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1265656326
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTRACEY F KUNKINCredential: L.M.S.W.
Location Address3974 AMBOY RD, 3RD FLStaten Island, NY 10308-2414
Mailing Address161 14th St, #2Hoboken, NJ 07030-4417 · (201) 240-6780
Fax(718) 984-5165
Sole ProprietorNo
Enumeration DateApril 12, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1265656326 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 NY · 066954-1
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.

3974 AMBOY RD, Staten Island, NY 10308

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.

Opt-Out Effective DateMay 24, 2017
Opt-Out In Effect ThroughMay 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 11

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

Social Worker (Clinical)
3974 AMBOY RD, SUITE 306
STATEN ISLAND, NY 10308
Social Worker (Clinical)
3974 AMBOY RD, SUITE 306
STATEN ISLAND, NY 10308
Social Worker (School)
3974 AMBOY RD, 3RD FL
STATEN ISLAND, NY 10308
Social Worker (School)
3974 AMBOY RD, 3RD FL
STATEN ISLAND, NY 10308
Social Worker (Clinical)
3974 AMBOY RD
STATEN ISLAND, NY 10308
Counselor (Mental Health)
3974 AMBOY RD, 2ND FLOOR
STATEN ISLAND, NY 10308
Social Worker (School)
3974 AMBOY RD
STATEN ISLAND, NY 10308
Social Worker (Clinical)
3974 AMBOY RD, SUITE 207
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 with the weekly NPPES data releases published by CMS.