Tracy Margaret Fredericks, LCSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06399500 Issued in NJ

Practice address

4 South Orange Avenue
PMB #258
South Orange, NJ 07079-2125

Phone

(973) 255-9188

NPI assigned

Oct 8, 2021

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

Medicare fee-for-service enrollment

Enrolled in NJ, DC, MD, PA4 enrollments

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 4

Specialty

Clinical Social Worker

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Sailor Health Medical PA

  • Psychologist
  • Coral Gables, FL
  • NPI 1841012960

  DC, MD, PA, Social Worker

  Medicare reassignment Care Compare group NPD
• Senior Care Therapy LLC

  • Clinical Psychologist
  • Passaic, NJ
  • NPI 1285898098
  Medicare reassignment NPD
• Connections Restored Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Orange, NJ
  • NPI 1881485605
  NPD Authorized official
• Sailor Health Medical of New Jersey, P.C.

  • Psychologist
  • Miami, FL
  • NPI 1578421798

  NJ

  Medicare reassignment

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1831851674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SOUTH ORANGE AVENUE",
            "address_2": "PMB #258",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792125",
            "telephone_number": "973-255-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SOUTH ORANGE AVENUE",
            "address_2": "PMB #258",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792125",
            "telephone_number": "973-255-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICKS",
        "first_name": "TRACY",
        "middle_name": "MARGARET",
        "name_prefix": "Ms.",
        "credential": "LCSW, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06399500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baijna Florestal, RBT
• Baijnatha Florestal, RBT
• Pamela F Foley, PHD
• Kemoy Fong
• Duane Fredericks, M.D.
• Walter F Fricke, D.AC, L.AC.
• Khadijah Friday
• Blaire Erica Fuchs, LCSW
• Cynthia A Galeota, CNM
• Champaklal K Gandhi, M.D.

• Clinical Social Worker in South Orange, NJ
• Providers in South Orange, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.