Tracey Nicole Tedder, BSW
Individual provider Active NPI Clinical Social Worker · Laramie, WY
NPI 1487453288 · NPPES record last updated Jun 20, 2025
Key facts
- NPI
- 1487453288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- PCSW-1237 (WY)
- Practice address
- 1263 N 15TH St
Laramie, WY 82072-2343 - Phone
- (307) 674-4405
- NPI assigned
- Mar 12, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- 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 |
|---|---|---|---|---|
| I20250731003190 | WY | Practitioner - Clinical Social Worker | 8325556434 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteers of America Northern Rockies | Current | Accepting new patients | |
| Volunteers of America Northern Rockies | Current |
Accepting new patients | |
| Volunteers of America Northern Rockies | Current |
Accepting new patients |
Locations
510 W 29th St
Cheyenne, WY 82001
Phone (307) 426-4728
1263 N 15th St
Laramie, WY 82072
Phone (307) 745-8915
1876 S Sheridan Ave
Sheridan, WY 82801
Phone (307) 672-0475
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | PCSW-1237 | WY | Yes |
Addresses
Primary practice location
1263 N 15TH St
Laramie, WY 82072-2343
Mailing address
302 Stampede St
Newcastle, WY 82701-3037
Phone (423) 845-0391
Other providers in Laramie, WY
- Brandi Tanner
- Lori Ann Tanner
- Nicole Tarbett
- Casara Tate
- Mitchel Taylor
- Tyler S. Tedmon-Jones
- Stephannie Ann Teini
- Emma Telgenhoff
- Elizabeth Temple
- Trey Alan Temsik I
All providers in Laramie, WY · Clinical Social Worker in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.