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TRACEY SUMMERVILLE LCSW
NPI 1538537410
Social Worker in Brooklyn, NY

Active since September 09, 2015PECOS Enrolled
858 E 23RD ST, BROOKLYN, NY 11210(917) 808-4800 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracey Summerville Lcsw NPPES

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

TRACEY SUMMERVILLE LCSW (NPI 1538537410) is an individual social worker in Brooklyn, New York, licensed in New York (095441) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538537410
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameTRACEY SUMMERVILLECredential: LCSW
Location Address858 E 23RD STBrooklyn, NY 11210-2820
Mailing Address41 E 7th St, Apt. 3New York, NY 10003-8011 · (914) 589-7904
Phone(917) 808-4800
Sole ProprietorYes
Enumeration DateSeptember 9, 2015
Last NPPES UpdateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
✔ NPI 1538537410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 095441
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
858 E 23RD ST, Brooklyn, NY 11210
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Other Names 1

Former Name (1)Tracey O'connell Lcsw

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 Summerville Lcsw 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.

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 Summerville's NPI number?

The NPI number for Tracey Summerville is 1538537410. It was assigned to this individual provider in the NPPES registry on September 9, 2015. The provider is also known as Tracey O'connell Lcsw.

Where is Tracey Summerville located?

Tracey Summerville practices at 858 E 23rd St, Brooklyn, NY 11210. The listed phone number is (917) 808-4800.

What is Tracey Summerville's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Tracey Summerville enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tracey Summerville was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.