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TRACEY NICOLE TEDDER BSW
NPI 1487453288
Social Worker - Clinical in Laramie, WY

Active since March 12, 2025PECOS Enrolled
1263 N 15TH ST, LARAMIE, WY 82072(307) 674-4405 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2025, Mar 20, 2025, Mar 12, 2025 (3 updates tracked since 2025).

About Tracey Nicole Tedder Bsw NPPES

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

TRACEY NICOLE TEDDER BSW (NPI 1487453288) is an individual clinical provider in Laramie, Wyoming, licensed in Wyoming (PCSW-1237) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1487453288
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTRACEY NICOLE TEDDERCredential: BSW
Location Address1263 N 15TH STLaramie, WY 82072-2343
Mailing Address302 Stampede StNewcastle, WY 82701-3037 · (423) 845-0391
Phone(307) 674-4405
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 12, 2025
Last NPPES UpdateJune 20, 20253 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1487453288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WY · PCSW-1237
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1263 N 15TH ST, Laramie, WY 82072
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracey Nicole Tedder Bsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325556434
PECOS Enrollment IDI20250731003190
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 82072 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 $56.42 – $170.72
Typical copayment $0.00 (range $14.10 – $42.68)
Most-billed visit code NA
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
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.

SUZANNA DENISON
Community Health Worker
1263 N 15TH ST
LARAMIE, WY 82072
Albany County (307) 745-8915
GAIL FORD PPC
Counselor
1263 N 15TH ST
LARAMIE, WY 82072
Albany County (307) 745-8915
SAMANTHA S COWPER MA PPC
Counselor
1263 N 15TH ST
LARAMIE, WY 82072
Albany County (307) 745-8915
STEFAN A BARKER
Community Health Worker
1263 N 15TH ST
LARAMIE, WY 82072
Albany County (307) 745-8915
HEATHER GALLARDO BS
Case Manager/Care Coordinator
1263 N 15TH ST
LARAMIE, WY 82072
Albany County (307) 745-8915
MEGAN J PLANT MS
Counselor
1263 N 15TH ST
LARAMIE, WY 82072
Albany County (307) 745-8915
JARET ROCKENBACH BS
Case Manager/Care Coordinator
1263 N 15TH ST
LARAMIE, WY 82072
Albany County (307) 745-8915
JESSIE OPAL KYSAR
Community Health Worker
1263 N 15TH ST
LARAMIE, WY 82072
Albany County (307) 745-8915

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 Tedder's NPI number?

The NPI number for Tracey Tedder is 1487453288. It was assigned to this individual provider in the NPPES registry on March 12, 2025.

Where is Tracey Tedder located?

Tracey Tedder practices at 1263 N 15th St, Laramie, WY 82072. The listed phone number is (307) 674-4405.

What is Tracey Tedder's specialty?

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

Is Tracey Tedder enrolled in Medicare?

Yes. Tracey Tedder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracey Tedder was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.