TRACY LEATRICE GORDON LCSW
NPI 1710635206
Social Worker - Clinical in Stockbridge, GA

Active since March 14, 2022PECOS EnrolledAccepts Medicare Assignment
275 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281(770) 474-8400(770) 474-3738 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2025, Mar 22, 2023 (2 updates tracked since 2023).

About Tracy Leatrice Gordon Lcsw NPPES

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

TRACY LEATRICE GORDON LCSW (NPI 1710635206) is an individual clinical provider in Stockbridge, Georgia, licensed in Georgia (CSW009359) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1710635206
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTRACY LEATRICE GORDONCredential: LCSW
Location Address275 COUNTRY CLUB DRStockbridge, GA 30281-7349
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Fax(770) 474-3738
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 14, 2022
Last NPPES UpdateJune 29, 20262 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1710635206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in GA · CSW009359✔ Licensed in ME · LC24466✔ Licensed in VA · 0904013773✔ Licensed in NH · 2795✔ Licensed in MD · 28899✔ Licensed in NY · 095397✔ Licensed in FL · SW20113✔ Licensed in NJ · 44SC06041900
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.
275 COUNTRY CLUB DR, Stockbridge, GA 30281

Secondary Practice Locations 3

Location 116701 Melford Blvd Ste 400Bowie, MD 20715-4411 · Phone (415) 424-4266 · Fax (415) 520-6633
Location 240 Adelaide DrCovington, GA 30016-1931 · Phone (609) 273-8551
Location 310775 Pioneer Trl Ste 215Truckee, CA 96161-0234 · Phone (415) 424-4266 · Fax (415) 520-6633

Accepted Insurance

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

Tracy Leatrice Gordon Lcsw 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 ID42694531
PECOS Enrollment IDI20250117001916
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

8

Medicare enrollment records show Tracy Gordon reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
Community/Behavioral Health
6750 N ANDREWS AVE STE 200
Ft Lauderdale, FL 33309
  • Reassigned Medicare billing, Florida enrollment
  • 82 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia, Florida, Georgia, New Hampshire and New York enrollments
  • 1,424 clinicians in this Medicare group
Mental Health
221 RIVER ST. FL 9
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 673 clinicians in this Medicare group
Psychiatry
134 N 4TH ST
Brooklyn, NY 11249
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Valera Medical PA
  • 14 clinicians in this Medicare group
Psychiatry
134 N 4TH ST
Brooklyn, NY 11249
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Valera Medical PC
  • 315 clinicians in this Medicare group
Psychiatry
134 N 4TH ST
Brooklyn, NY 11249
  • Reassigned Medicare billing, New Jersey enrollment
  • 35 clinicians in this Medicare group
Clinical
140 E RIDGEWOOD AVE STE 415
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 116 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 30281 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 $56.84 – $172.43
Typical copayment $0.00 (range $14.21 – $43.10)
Most-billed visit code NA
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Psychologist
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Psychologist
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Counselor (Professional)
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Counselor (Professional)
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Marriage & Family Therapist
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Counselor (Professional)
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Counselor (Professional)
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281
Marriage & Family Therapist
275 COUNTRY CLUB DR
STOCKBRIDGE, GA 30281

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 Gordon's NPI number?

The NPI number for Tracy Gordon is 1710635206. It was assigned to this individual provider in the NPPES registry on March 14, 2022.

Where is Tracy Gordon located?

Tracy Gordon practices at 275 Country Club Dr, Stockbridge, GA 30281. The listed phone number is (770) 474-8400.

What is Tracy Gordon's specialty?

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

Is Tracy Gordon enrolled in Medicare?

Yes. Tracy Gordon 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 Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Gordon reassigns Medicare benefits to 8 organizations: Personal Recovery Network LLC (Stockbridge, GA), Che Behavioral Health Services Of Florida, P.A. (Ft Lauderdale, FL), Grow Healthcare Group PA (Miami, FL), Grow Healthcare Group Of New Jersey PC (Hoboken, NJ), Valera Medical, P.A. (Brooklyn, NY) and 3 more organizations, listed in the Medicare section above. 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 Gordon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracy Gordon accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 5 other insurers list Tracy Gordon 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 Tracy Gordon was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.