Tracey Beth Barlow, SOCIAL WORKER
Individual provider Active NPI Social Worker · Horseheads, NY
NPI 1306042379 · NPPES record last updated Mar 21, 2018
Key facts
- NPI
- 1306042379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 094647 (NY)
- Practice address
- 25 E Vargo Rd
Horseheads, NY 14845-9319 - Phone
- (607) 592-8569
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Freeville, NY 13068
Phone (607) 592-8569
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200504001434 | NY | Practitioner - Clinical Social Worker | 7810328069 |
Reassigns benefits to 1 organization Practice locations: Freeville, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094647 | NY | MD | Social Worker |
| 614075 | NY | MD | Registered Nurse |
| 213027-1 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Counseling Services LCSW, PLLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 614075 | NY | |
| Licensed Practical Nurse | 164W00000X | 213027-1 | NY | |
| Social Worker | 104100000X | 094647 | NY | Yes |
Addresses
Primary practice location
25 E Vargo Rd
Horseheads, NY 14845-9319
Mailing address
25 E Vargo Rd
Horseheads, NY 14845-9319
Phone (607) 592-8569
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01956183 | Medicaid | NY |
Other providers in Horseheads, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.