Tracy Leatrice Gordon, LCSW in Stockbridge, GA - Medicare Social Worker Provider

Tracy Leatrice Gordon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Stockbridge, Georgia. Her current practice location is 275 Country Club Dr, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 474-8400.

Tracy Leatrice Gordon is licensed to practice in Georgia (license number CSW009359) 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 1710635206.

Contact Information

	Tracy Leatrice Gordon, LCSW
	275 Country Club Dr, Stockbridge, GA 30281-7349
	(770) 474-8400
	(770) 474-3738

Map and Direction

Healthcare Provider's Profile

Full Name	Tracy Leatrice Gordon
Gender	Female
Speciality	Social Worker - Clinical
Location	275 Country Club Dr, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710635206
Provider Enumeration Date: 03/14/2022
Last Update Date: 06/29/2026

Medicare PECOS Information:

PECOS PAC ID: 0042694531
Enrollment ID: I20220901001340

Medical Identifiers

Medical identifiers for Tracy Leatrice Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710635206	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LC24466 (Maine)	Secondary
1041C0700X	Social Worker - Clinical	0904013773 (Virginia)	Secondary
1041C0700X	Social Worker - Clinical	2795 (New Hampshire)	Secondary
1041C0700X	Social Worker - Clinical	CSW009359 (Georgia)	Primary
1041C0700X	Social Worker - Clinical	28899 (Maryland)	Secondary
1041C0700X	Social Worker - Clinical	095397 (New York)	Secondary
1041C0700X	Social Worker - Clinical	SW20113 (Florida)	Secondary
1041C0700X	Social Worker - Clinical	44SC06041900 (New Jersey)	Secondary

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. Tracy Leatrice Gordon allows following entities to bill medicare on her behalf.

Entity Name	Nj Behavioral Health Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447289376 PECOS PAC ID: 0648288712 Enrollment ID: O20060331000030

Entity Name	Valera Medical, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306435060 PECOS PAC ID: 6709272008 Enrollment ID: O20220414000699

Entity Name	Grow Healthcare Group Of New Jersey Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841949328 PECOS PAC ID: 5193194835 Enrollment ID: O20221220000110

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. Tracy Leatrice Gordon 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
Tracy Leatrice Gordon, LCSW 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: () -	Tracy Leatrice Gordon, LCSW 275 Country Club Dr, Stockbridge, GA 30281-7349 Ph: (770) 474-8400

Reviews and Comments

Social Worker in Stockbridge, GA

Rashonda L Clay-douthit, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 Chariot Ct, Stockbridge, GA 30281 Phone: 678-270-7235
Dara Charpentier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 568 Ransom Way, Stockbridge, GA 30281 Phone: 404-391-1782 Fax: 404-391-1782
Devesea Tatum, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 255 Corporate Center Dr Ste C, Stockbridge, GA 30281 Phone: 678-478-2937
Shakirah Morgan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 123 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 404-446-0300
Dr. Shanika Thomas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Walter Way Unit 602, Stockbridge, GA 30281 Phone: 404-991-9733
Mrs. Olga V. Jantzer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3580 Cameron Pkwy, Stockbridge, GA 30281 Phone: 678-565-6228
Mrs. Dawn P Kentish Bennett, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 297 Ironwood Dr, Stockbridge, GA 30281 Phone: 401-743-0408

Tracy Leatrice Gordon, LCSW - Medicare Clinical Social Worker in Stockbridge, GA