Tracie Sara Balcerzak – Clinical Social Worker

Key facts

NPI: 1700429321
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Social Worker 1041C0700X
License: 082124 (NY)
Practice address: 4988 Chugg Rd
Holley, NY 14470-9713
Phone: (585) 313-9926
NPI assigned: Oct 27, 2019
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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

Samaritan Counseling Center of the Southern Tier Inc Mental Health Counselor · Endicott, NY · NPI 1467520080

Medicare reassignment NY

Medicare Care Compare profile

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)

3001 E Main St
Endicott, NY 13760-5843

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
I20260619000729	NY	Practitioner - Clinical Social Worker	5799257861	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
082124	NY	MD	Clinical Social Worker

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Social Worker	1041C0700X	082124	NY	Yes

Addresses

Primary practice location

4988 Chugg Rd
Holley, NY 14470-9713

Mailing address

4988 Chugg Rd
Holley, NY 14470-9713
Phone (585) 313-9926

Other names

Dr. Tracie S Balcerzak Former name

Other providers in Holley, NY

All providers in Holley, NY · Clinical Social Worker in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2026. 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.

Verify at the official NPI Registry.