Tracie Sara Balcerzak, DSW, LCSW, BC-TMH

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082124 Issued in NY

Practice address

4988 Chugg Rd
Holley, NY 14470-9713

Phone

(585) 313-9926

NPI assigned

Oct 27, 2019

Last updated

May 16, 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 names 1

• Dr. Tracie S Balcerzak Former name

Medicare fee-for-service enrollment

Enrolled in NY

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

State University of New York at Buffalo School of Medicine, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Samaritan Counseling Center of the Southern Tier Inc

  • Mental Health Counselor
  • Endicott, NY
  • NPI 1467520080
  Medicare reassignment

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778889600000",
    "number": "1700429321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4988 CHUGG RD",
            "city": "HOLLEY",
            "state": "NY",
            "postal_code": "144709713",
            "telephone_number": "585-313-9926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4988 CHUGG RD",
            "city": "HOLLEY",
            "state": "NY",
            "postal_code": "144709713",
            "telephone_number": "585-313-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALCERZAK",
        "first_name": "TRACIE",
        "middle_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW, BC-TMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-27",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACIE",
            "last_name": "BALCERZAK",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "DSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samantha Armstrong
• Scott M Barbato, LPN
• Lynn E. Beatty, TEACHER
• Marie Katherine Belair, LPN
• Lauren Blair, ACSM E.P.
• Bradley Justin Brooks, RN

• Clinical Social Worker in Holley, NY
• Providers in Holley, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.