JOHN JOSEPH TRACEY (MSW) – Clinical Social Worker, NPI 1386679223

JOHN JOSEPH TRACEY (MSW) is a healthcare provider. based in Putnam, Connecticut. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. 5818 (CT). The NPI Number for JOHN JOSEPH TRACEY (MSW) is 1386679223

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
JOHN JOSEPH TRACEY (MSW)
NPI
1386679223
Phone
(860) 963-7917
Address
202 Pomfret St
Enumeration Date
11 July 2006
Last Update Date
8 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5084186888206
Graduation Year
1989 (37 years ago)
PAC ID
3870732308
Group Practice PAC ID
4082983911
Professional Enrollment ID
I20130613000509
Address ID
MA015661540ST258XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,153 CLINICAL SOCIAL WORKER in CT

Provider Addresses for JOHN JOSEPH TRACEY (MSW)

  • 202 Pomfret St

    Putnam, CT 062601833

    Phone: (860) 963-7917

    Fax: (860) 963-0018

    Type: Location

  • 128 MAIN ST STE 3

    STURBRIDGE, MA 015661556

    Phone: (508) 418-6888

    Fax: (508) 418-6886

    Type: Mailing

  • Generations Family Health Center, 40, Mansfield Avenue, Willimantic, Windham, Windham County, Connecticut, 06226, United States

    WILLIMANTIC, CT 062262018

    Phone: (860) 450-7471

    Fax: (860) 963-0015

    Type: Mailing

  • 202, Pomfret Street, Putnam, Windham County, Connecticut, 06260, United States

    PUTNAM, CT 062601833

    Phone: (860) 963-7917

    Fax: (860) 963-0018

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-06-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130613000509IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour7312$0
View full utilization report →

Insurance plans in this area (ZIP 06260)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082983911View full group profile
NameSpecialtyState
Clinical Social WorkerMA
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA
Clinical Social WorkerMA
Psychiatry, Addiction MedicineNH
P S Y C H I A T R YMA
Marriage And Family TherapistMA
P S Y C H I A T R YMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

How is JOHN JOSEPH TRACEY (MSW) identified in CMS data?
CMS-hosted NPPES data lists JOHN JOSEPH TRACEY (MSW) with NPI 1386679223.
Can I rely on JOHN JOSEPH TRACEY (MSW) being an active provider?
As of the registry snapshot, JOHN JOSEPH TRACEY (MSW) is marked active.
What taxonomy line describes JOHN JOSEPH TRACEY (MSW)?
For research purposes, treat JOHN JOSEPH TRACEY (MSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JOHN JOSEPH TRACEY (MSW) on a map?
Expect Putnam, Connecticut as a primary anchor for JOHN JOSEPH TRACEY (MSW) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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