MRS. TRACY ELLEN AMBOS MSW, LCSW-C, LICSW
NPI 1487010971
Social Worker - Clinical in Joint Base Andrews, MD

Active since January 13, 2016PECOS EnrolledAccepts Medicare Assignment
5100 FETCHER AVENUE, JOINT BASE ANDREWS, MD 20762(240) 612-7600 Get Directions Write a Review

NPPES record last updated: January 13, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Tracy Ellen Ambos Msw, Lcsw-c, Licsw NPPES

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

MRS. TRACY ELLEN AMBOS MSW, LCSW-C, LICSW (NPI 1487010971) is an individual clinical provider in Joint Base Andrews, Maryland, licensed in District Of Columbia (LC303237) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1487010971
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. TRACY ELLEN AMBOSCredential: MSW, LCSW-C, LICSW
Location Address5100 FETCHER AVENUEJoint Base Andrews, MD 20762
Mailing Address7124 Langley CtHughesville, MD 20637-2714 · (240) 577-5528
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateJanuary 13, 2016
✔ NPI 1487010971 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 DC · LC303237
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.
5100 FETCHER AVENUE, Joint Base Andrews, MD 20762

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Tracy Ellen Ambos Msw, Lcsw-c, Licsw 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 ID2668727918
PECOS Enrollment IDI20230112001198
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 Reassignments

2

Medicare enrollment records show Tracy Ambos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adult Mental Health
3033 WILSON BLVD STE 700
Arlington, VA 22201
  • Reassigned Medicare billing, District of Columbia enrollment
  • 26 clinicians in this Medicare group
Adult Mental Health
4800 HAMPDEN LN STE 200B
Bethesda, MD 20814
  • Reassigned Medicare billing, District of Columbia enrollment
  • 17 clinicians in this Medicare group

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 20762 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 $65.18 – $194.86
Typical copayment $0.00 (range $16.29 – $48.71)
Most-billed visit code NA
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 Ambos's NPI number?

The NPI number for Tracy Ambos is 1487010971. It was assigned to this individual provider in the NPPES registry on January 13, 2016.

Where is Tracy Ambos located?

Tracy Ambos practices at 5100 Fetcher Avenue, Joint Base Andrews, MD 20762. The listed phone number is (240) 612-7600.

What is Tracy Ambos's specialty?

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

Is Tracy Ambos enrolled in Medicare?

Yes. Tracy Ambos 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.

Which organizations bill Medicare for Tracy Ambos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Ambos reassigns Medicare benefits to 2 organizations: Uplift Health Technologies, Inc. (Arlington, VA) and Uplift Behavioral Health PC (Bethesda, MD). Each 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 Ambos'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 Ambos was last updated on January 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.