TRACIE LYNN PRELI-DERWIN
NPI 1497014344
Social Worker - Clinical in East Hartford, CT
About Tracie Lynn Preli-derwin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACIE LYNN PRELI-DERWIN (NPI 1497014344) is an individual clinical provider in East Hartford, Connecticut, licensed in Connecticut (00734) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tracie Lynn Preli-derwin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Tracie Preli-derwin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rocky Hill, CT 06067
- Reassigned Medicare billing, Connecticut enrollment
- 3 clinicians in this Medicare group
Southington, CT 06489
- Reassigned Medicare billing, Connecticut enrollment
Prospect, CT 06712
- Reassigned Medicare billing, Connecticut enrollment
- 75 clinicians in this Medicare group
Danielson, CT 06239
- Reassigned Medicare billing, Connecticut enrollment
- 390 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 06108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST HARTFORD, CT 06108
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 Tracie Preli-derwin's NPI number?
The NPI number for Tracie Preli-derwin is 1497014344. It was assigned to this individual provider in the NPPES registry on May 14, 2012.
Where is Tracie Preli-derwin located?
Tracie Preli-derwin practices at 96 Connecticut Blvd, East Hartford, CT 06108. The listed phone number is (860) 502-4908.
What is Tracie Preli-derwin's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Tracie Preli-derwin enrolled in Medicare?
Yes. Tracie Preli-derwin is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tracie Preli-derwin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracie Preli-derwin reassigns Medicare benefits to 4 organizations: Staltaro Psychological Services LLC (Rocky Hill, CT), Tracie Preli-Derwin, Lcsw, PLLC (Southington, CT), Sunrise Psychological Services LLC (Prospect, CT) and Step Up Care PC LLC (Danielson, CT). 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 Tracie Preli-derwin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tracie Preli-derwin accept?
Health plans from Anthem Blue Cross and Blue Shield list Tracie Preli-derwin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tracie Preli-derwin was last updated on July 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Tracie Lynn Preli-Derwin · NPI 1497014344
Clinical provider in East Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since May 14, 2012.
## Identity
- **NPI:** 1497014344 (Entity type: Individual)
- **Enumerated:** May 14, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 00734 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 96 CONNECTICUT BLVD, East Hartford, CT 06108-3013
- **Phone:** (860) 502-4908 · **Fax:** (860) 513-4828
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Staltaro Psychological Services LLC (NPI 1841522216, Rocky Hill, CT); Tracie Preli-Derwin, Lcsw, PLLC (NPI 1124608054, Southington, CT); Sunrise Psychological Services LLC (NPI 1699199869, Prospect, CT); Step Up Care PC LLC (NPI 1154884740, Danielson, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** July 26, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1497014344) · Data from the CMS NPPES public registry.