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TRACY MONIQUE WATHEN LCSW
NPI 1861535635
Social Worker - Clinical in Elizabethtown, KY

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment
107 CRANES ROOST CT, ELIZABETHTOWN, KY 42701(270) 765-2605(270) 234-8572 Get Directions Write a Review

NPPES record last updated: August 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Monique Wathen Lcsw NPPES

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

TRACY MONIQUE WATHEN LCSW (NPI 1861535635) is an individual clinical provider in Elizabethtown, Kentucky, licensed in Kentucky (252190) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1861535635
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTRACY MONIQUE WATHENCredential: LCSW
Location Address107 CRANES ROOST CTElizabethtown, KY 42701-3650
Mailing Address107 Cranes Roost CtElizabethtown, KY 42701-3650 · (270) 765-2605 · Fax (270) 234-8572
Phone(270) 765-2605
Fax(270) 234-8572
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 14, 2007
Last NPPES UpdateAugust 19, 2016
✔ NPI 1861535635 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 KY · 252190
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.
107 CRANES ROOST CT, Elizabethtown, KY 42701
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Other Identifiers 1

Medicaid30605018KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracy Monique Wathen 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 ID4688961394
PECOS Enrollment IDI20160923001099
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 42701 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 $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

LILY GAYLE BLACK
Technician
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2605
JENNIFER CAROL HORNBACK
Technician
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2605
VENDA ROGERS WALTER
Counselor
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2605
RACHEL RAGIN
Counselor
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2605
COMMUNICARE, INC.
Counselor (Mental Health)
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2605
STEPHEN WALTER HILL MA
Counselor
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2605
AUTUMN SEGVICH
Counselor
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2605
MICHAEL DAN WOODFORD
Technician
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701
Hardin County (270) 765-2605

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 Wathen's NPI number?

The NPI number for Tracy Wathen is 1861535635. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Tracy Wathen located?

Tracy Wathen practices at 107 Cranes Roost Ct, Elizabethtown, KY 42701. The listed phone number is (270) 765-2605.

What is Tracy Wathen's specialty?

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

Is Tracy Wathen enrolled in Medicare?

Yes. Tracy Wathen 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.

When was this NPI record last updated?

The NPPES record for Tracy Wathen was last updated on August 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.