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MISS TRACY GORDON LCSW
NPI 1720102155
Social Worker - Clinical in Valencia, CA

Active since March 19, 2007PECOS Enrolled
25050 AVENUE KEARNY, SUITE 201, VALENCIA, CA 91355(661) 857-5935 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 20, 2021, Dec 1, 2021 (2 updates tracked since 2021).

About Miss Tracy Gordon Lcsw NPPES

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

MISS TRACY GORDON LCSW (NPI 1720102155) is an individual clinical provider in Valencia, California, licensed in California (LCS 22738) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720102155
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMISS TRACY GORDONCredential: LCSW
Location Address25050 AVENUE KEARNY, SUITE 201Valencia, CA 91355-1255
Mailing Address25050 Avenue Kearny Ste 203Valencia, CA 91355-1257 · (661) 857-5935
Phone(661) 857-5935
Sole ProprietorYes
Enumeration DateMarch 19, 2007
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
NPPES CertifiedDecember 20, 2021
✔ NPI 1720102155 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 CA · LCS 22738
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.
25050 AVENUE KEARNY, Valencia, CA 91355
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Tracy Gordon 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.

Medicare Billing Reassignment

Medicare enrollment records show Tracy Gordon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
6.8 mi
Health Maintenance Organization
19105 GOLDEN VALLEY RD
Santa Clarita, CA 91387
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1316409410 (877) 608-0044

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 91355 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 $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 5

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

MS. JULIANNE CHRISTINSON CARLSON MFT
Marriage & Family Therapist
25050 AVENUE KEARNY, SUITE #201
SANTA CLARITA, CA 91355
Los Angeles County (818) 970-5531
NICOLE PENICK
Psychologist
25050 AVENUE KEARNY
VALENCIA, CA 91355
Los Angeles County (818) 495-8718
DR. GREGORY EDMUND HAMLIN
Psychologist (Clinical)
25050 AVENUE KEARNY, SUITE 201
SANTA CLARITA, CA 91355
Los Angeles County (661) 297-2326
MRS. JO ANN SHARON FIELDS MFT
Marriage & Family Therapist
25050 AVENUE KEARNY, SUITE 101
SANTA CLARITA, CA 91355
Los Angeles County (818) 884-7354
DR. MANJIT WALIA PSY.D.
Psychologist (Clinical)
25050 AVENUE KEARNY, SUITE 114
VALENCIA, CA 91355
Los Angeles County (661) 204-9950

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 1720102155. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Tracy Gordon located?

Tracy Gordon practices at 25050 Avenue Kearny Suite 201, Valencia, CA 91355. The listed phone number is (661) 857-5935.

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 enrollment system.

Which organization bills Medicare for Tracy Gordon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Gordon reassigns Medicare benefits to Southern California Permanente Medical Group (Santa Clarita, CA). 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 Tracy Gordon'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 Tracy Gordon was last updated on December 20, 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.