MRS. TRACEY NICOLE WAITE (LCSW) – Clinical Social Worker, NPI 1053507020

MRS. TRACEY NICOLE WAITE (LCSW) is a healthcare provider. based in Arcadia, Florida. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. SW 8162 (FL). The NPI Number for MRS. TRACEY NICOLE WAITE (LCSW) is 1053507020

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TRACEY NICOLE WAITE (LCSW)
NPI
1053507020
Phone
(863) 494-1242
Address
725 N 12TH AVE BLDG B
Enumeration Date
24 September 2007
Last Update Date
10 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7862447711
Graduation Year
2002 (24 years ago)
PAC ID
1557533767
Group Practice PAC ID
3476961368
Professional Enrollment ID
I20111012000670
Address ID
FL331301807MI66XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,374 CLINICAL SOCIAL WORKER in FL

Provider Addresses for MRS. TRACEY NICOLE WAITE (LCSW)

  • 725 N 12TH AVE BLDG B

    ARCADIA, FL 342668752

    Phone: (863) 494-1242

    Type: Location

  • 101, 8th Avenue West, Palmetto, Manatee County, Florida, 34221, United States

    PALMETTO, FL 342214737

    Phone: (941) 776-4000

    Type: Mailing

  • 1355 S INTERNATIONAL PKWY

    STE 1481

    LAKE MARY, FL 327461694

    Phone: (407) 559-7011

    Fax: (407) 559-5443

    Type: Mailing

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: 2011-10-12

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
I20111012000670IClinical Social WorkerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34266)

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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: 3476961368View full group profile
NameSpecialtyState
Clinical PsychologistMT
Clinical PsychologistLA
Clinical Social WorkerFL
Nurse PractitionerFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Certified Nurse Midwife (Cnm)FL
Clinical Social WorkerMN

Reviews

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Frequently asked questions

How do payers reference MRS. TRACEY NICOLE WAITE (LCSW)?
For MRS. TRACEY NICOLE WAITE (LCSW), use NPI 1053507020 as the unique 10-digit identifier.
Active or inactive — what applies to MRS. TRACEY NICOLE WAITE (LCSW)?
You should see MRS. TRACEY NICOLE WAITE (LCSW) as active in CMS-hosted NPPES data.
What clinical focus is listed for MRS. TRACEY NICOLE WAITE (LCSW)?
At a glance, MRS. TRACEY NICOLE WAITE (LCSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MRS. TRACEY NICOLE WAITE (LCSW) associated with Arcadia?
Public fields place MRS. TRACEY NICOLE WAITE (LCSW) around Arcadia, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for MRS. TRACEY NICOLE WAITE (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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