Ms Tracy Margaret Fredericks, LCSW, MSW in South Orange, NJ

Ms Tracy Margaret Fredericks, LCSW, MSW is a medicare enrolled "Social Worker - Clinical" provider in South Orange, New Jersey. Her current practice location is 4 South Orange Avenue, Pmb #258, South Orange, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 255-9188.

Ms Tracy Margaret Fredericks is licensed to practice in Pennsylvania (license number CW025943) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831851674.

Contact Information

	Ms Tracy Margaret Fredericks, LCSW, MSW
	4 South Orange Avenue, Pmb #258, South Orange, NJ 07079-2125
	(973) 255-9188
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Tracy Margaret Fredericks
Gender	Female
Speciality	Social Worker - Clinical
Location	4 South Orange Avenue, South Orange, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831851674
Provider Enumeration Date: 10/08/2021
Last Update Date: 06/23/2025

Medicare PECOS Information:

PECOS PAC ID: 2567999311
Enrollment ID: I20241218002452

Medical Identifiers

Medical identifiers for Ms Tracy Margaret Fredericks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831851674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44SC06399500 (New Jersey)	Secondary
1041C0700X	Social Worker - Clinical	CW025943 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Tracy Margaret Fredericks allows following entities to bill medicare on her behalf.

Entity Name	Senior Care Therapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285898098 PECOS PAC ID: 0547335366 Enrollment ID: O20080813000563

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Tracy Margaret Fredericks is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Tracy Margaret Fredericks, LCSW, MSW 4 South Orange Avenue, Pmb #258, South Orange, NJ 07079-2125 Ph: (973) 255-9188	Ms Tracy Margaret Fredericks, LCSW, MSW 4 South Orange Avenue, Pmb #258, South Orange, NJ 07079-2125 Ph: (973) 255-9188

Reviews and Comments

Social Worker in South Orange, NJ

Toni B Schecter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Irvington Ave Apt 101, South Orange, NJ 07079 Phone: 646-644-1228
Lucy Vance Seligson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 227 Raymond Ave, South Orange, NJ 07079 Phone: 201-820-5924
Jessamyn Blakeslee Tabakin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 Seton Pl, South Orange, NJ 07079 Phone: 091-761-2899
Mr. Kristian Lynch, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 155 Kilburn Pl, South Orange, NJ 07079 Phone: 917-579-6396
Blaire Erica Fuchs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 76 S Orange Ave Ste 209, South Orange, NJ 07079 Phone: 201-740-7137 Fax: 973-378-9575
James Mindnich Jr., Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 282 Scotland Rd, South Orange, NJ 07079 Phone: 201-704-8998
Mrs. Drewsilla M Thorne, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 315 Valley St, South Orange, NJ 07079 Phone: 973-763-7979

Ms Tracy Margaret Fredericks, LCSW, MSW - Medicare Clinical Social Worker in South Orange, NJ