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TRACEY LAZORE MSW
NPI 1548996887
Social Worker - Clinical in Camden, NY

Active since July 28, 2022PECOS Enrolled

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tracey Lazore Msw NPPES

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

TRACEY LAZORE MSW (NPI 1548996887) is an individual clinical provider in Camden, New York, licensed in New York (P116333) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1548996887
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTRACEY LAZORECredential: MSW
Location Address40 MAIN STCamden, NY 13316-1302
Mailing Address1759 Newport RdPoland, NY 13431-1708 · (315) 867-3219
Phone(315) 533-2570
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 28, 2022
NPPES CertifiedJuly 28, 2022
✔ NPI 1548996887 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 · P116333
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.
40 MAIN ST, Camden, NY 13316
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Other Identifiers 1

OtherP116333NY · Limited Permit

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracey Lazore Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981172319
PECOS Enrollment IDI20260505001019
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 Tracey Lazore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Come To The Table Counseling Lcsw
Same address
Clinical
40 MAIN ST LOWR
Camden, NY 13316
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
NPI 1093319576 (315) 335-9727

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 13316 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY OLIVIA REDMOND
Social Worker
40 MAIN ST
CAMDEN, NY 13316
Oneida County (315) 533-2570

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 Lazore's NPI number?

The NPI number for Tracey Lazore is 1548996887. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Where is Tracey Lazore located?

Tracey Lazore practices at 40 Main St, Camden, NY 13316. The listed phone number is (315) 533-2570.

What is Tracey Lazore's specialty?

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

Is Tracey Lazore enrolled in Medicare?

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

Which organization bills Medicare for Tracey Lazore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Lazore reassigns Medicare benefits to Come To The Table Counseling Lcsw (Camden, 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 Tracey Lazore'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 Tracey Lazore was last updated on July 28, 2022. 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.