TRACY PENN LICSW
NPI 1861284713
Social Worker - Clinical in Monticello, MN

Q: What is Tracy Penn's NPI number?

The NPI number for Tracy Penn is 1861284713. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Q: What is Tracy Penn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracy Penn was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 19, 2025PECOS Enrolled

407 WASHINGTON ST, MONTICELLO, MN 55362(763) 888-9626(763) 295-5086 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tracy Penn Licsw NPPES

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

TRACY PENN LICSW (NPI 1861284713) is an individual clinical provider in Monticello, Minnesota, licensed in Minnesota (15990) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1861284713

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTRACY PENNCredential: LICSW

Location Address407 WASHINGTON STMonticello, MN 55362-8815

Mailing Address407 Washington StMonticello, MN 55362-8815 · (763) 888-9626 · Fax (763) 295-5086

Phone(763) 888-9626

Fax(763) 295-5086

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateMay 19, 2025

NPPES CertifiedMay 19, 2025

✔ NPI 1861284713 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 MN · 15990

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.

407 WASHINGTON ST, Monticello, MN 55362

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Penn Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880183367

PECOS Enrollment IDI20251027002670

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55362 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 $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

LANCE JOHNSON LPCC

Counselor (Professional)