Tracy Anne Ericson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW020382 Issued in PA

Practice address

9627 Route 35
Mt Pleasant Mills, PA 17853-8409

Phone

(570) 539-2561

Fax

(570) 539-2702

NPI assigned

Oct 11, 2007

Last updated

Jun 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Miss Tracy A Carrell Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/diakon/r4/
• Direct secure messaging: tracyericsonlcsw@fpc.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Practice Center, PC

  • Physical Therapist
  • Middleburg, PA
  • NPI 1154376937

  Clinical

  Medicare reassignment Care Compare group NPD
• Diakon Child, Family & Community Ministries

  • Community/Behavioral Health Agency
  • Williamsport, PA
  • NPI 1861802035

  Multi-Specialty

  Medicare reassignment NPD
• Diakon Child Family and Community Ministries

  • Community/Behavioral Health Agency
  • Mechanicsburg, PA
  • NPI 1669882700
  NPD
• Diakon Child, Family and Community Ministries

  dba Diakon Family Life Service

  • Community/Behavioral Health Agency
  • Montoursville, PA
  • NPI 1467821207
  NPD
• Family Practice Center, PC

  • Clinical Medical Laboratory
  • Selinsgrove, PA
  • NPI 1033322466
  NPD
• Sun Orthopaedic Group

  • Durable Medical Equipment & Medical Supplies
  • Mifflinburg, PA
  • NPI 1891916094
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1063600302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9627 ROUTE 35",
            "city": "MT PLEASANT MILLS",
            "state": "PA",
            "postal_code": "178538409",
            "telephone_number": "570-539-2561",
            "fax_number": "570-539-2702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Susquehanna Valley Mall Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Selinsgrove",
            "state": "PA",
            "postal_code": "178709115",
            "country_code": "US",
            "telephone_number": "570-768-4441",
            "fax_number": "570-768-4195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICSON",
        "first_name": "TRACY",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "6W5479",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1034300800002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TracyEricsonlcsw@fpc.medentdirect.com",
            "affiliation": "Y",
            "affiliationName": "FAMILY PRACTICE CENTER, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9627 Route 35",
            "city": "MT Pleasant Mills",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178538409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "CARRELL",
            "middle_name": "A",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexa Kay Bryner, LSW
• Zebulin Jacob Bryner, LSW
• Tammi Ann Burns, PA-C
• Fremont Fire Department
• Nicole Lavertue, PSY.D.
• Teresa Michele Longacre, PTA
• Tara Alicia Paige
• Erica Rhoads, MS, LPC

• Clinical Social Worker in Mt Pleasant Mills, PA
• Providers in Mt Pleasant Mills, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.