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MISS TRACY PHILESIA HOLLINGSWORTH LICSW
NPI 1417536665
Social Worker - Clinical in Gardner, MA

Active since April 05, 2021PECOS Enrolled
65 OLDE COLONIAL DR APT 2, GARDNER, MA 01440(917) 837-6797 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Tracy Philesia Hollingsworth Licsw NPPES

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

MISS TRACY PHILESIA HOLLINGSWORTH LICSW (NPI 1417536665) is an individual clinical provider in Gardner, Massachusetts, licensed in New York (091116) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417536665
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS TRACY PHILESIA HOLLINGSWORTHCredential: LICSW
Location Address65 OLDE COLONIAL DR APT 2Gardner, MA 01440-4216
Mailing Address65 Olde Colonial Dr Apt 2Gardner, MA 01440-4216 · (917) 837-6797
Phone(917) 837-6797
Sole ProprietorYes
Enumeration DateApril 5, 2021
NPPES CertifiedApril 5, 2021
✔ NPI 1417536665 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 · 091116
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.
65 OLDE COLONIAL DR APT 2, Gardner, MA 01440
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Other Names 1

Professional Name (2)Tracy Philesia Hollingsworth Licsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Tracy Philesia Hollingsworth Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tracy Hollingsworth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arck Nurse Practitioner In Psychiatry PLLC
137 mi
Psychiatric/Mental Health
111 SMITHTOWN BYP STE 122
Hauppauge, NY 11788
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
NPI 1700464682 (516) 568-7032

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01440 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 $58.86 – $177.36
Typical copayment $0.00 (range $14.71 – $44.34)
Most-billed visit code NA
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

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 Tracy Hollingsworth's NPI number?

The NPI number for Tracy Hollingsworth is 1417536665. It was assigned to this individual provider in the NPPES registry on April 5, 2021. The provider is also known as Tracy Philesia Hollingsworth Licsw.

Where is Tracy Hollingsworth located?

Tracy Hollingsworth practices at 65 Olde Colonial Dr Apt 2, Gardner, MA 01440. The listed phone number is (917) 837-6797.

What is Tracy Hollingsworth's specialty?

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

Is Tracy Hollingsworth enrolled in Medicare?

Yes. Tracy Hollingsworth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Hollingsworth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Hollingsworth reassigns Medicare benefits to Arck Nurse Practitioner In Psychiatry PLLC (Hauppauge, NY). The 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 Tracy Hollingsworth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tracy Hollingsworth was last updated on April 5, 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.