TRACEY HARRIS (MSW, LCSW) – Clinical Social Worker, NPI 1639843345

TRACEY HARRIS (MSW, LCSW) is a healthcare provider. based in Douglas, Wyoming. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. The NPI Number for TRACEY HARRIS (MSW, LCSW) is 1639843345

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
TRACEY HARRIS (MSW, LCSW)
NPI
1639843345
Phone
(307) 717-0002
Address
1954 E Richards St Ste 10
Enumeration Date
5 August 2021
Last Update Date
30 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3074264797
Graduation Year
2021 (5 years ago)
PAC ID
7315396157
Group Practice PAC ID
8921311911
Professional Enrollment ID
I20231206000233
Address ID
WY820011900CH4025XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:4State licenses:0Digital endpointsOther names

227 CLINICAL SOCIAL WORKER in WY

Provider Addresses for TRACEY HARRIS (MSW, LCSW)

  • 1954 E Richards St Ste 10

    Douglas, WY 826333089

    Phone: (307) 717-0002

    Type: Location

  • 3925 Casper Mountain Rd

    Casper, WY 826016036

    Phone: (307) 222-3042

    Type: Location

  • 975 Gilchrist St

    Wheatland, WY 822012931

    Phone: (307) 322-8122

    Type: Location

  • 427 S 21ST ST

    LARAMIE, WY 820704323

    Phone: (307) 459-3670

    Type: Location

  • 3257 W 20th St Ste 200

    Greeley, CO 806346550

    Phone: (970) 672-4667

    Type: Location

  • 200 Dell Range Blvd

    Cheyenne, WY 820094705

    Phone: (307) 426-4797

    Type: Location

  • 1413 W 29th St

    Loveland, CO 805382403

    Phone: (970) 942-3037

    Type: Location

  • 4006 Cleveland Ave

    Bldg B, Ste 1

    Wellington, CO 805495056

    Phone: (970) 672-4667

    Type: Location

  • 4025 Rawlins St

    Cheyenne, WY 820011900

    Phone: (307) 426-4797

    Type: Location

  • 2550 Stover St Bldg C

    Fort Collins, CO 805254641

    Phone: (970) 942-3031

    Type: Location

  • 4989 N 3RD ST

    LARAMIE, WY 820729548

    Phone: (307) 745-8997

    Type: Mailing

  • 4025 RAWLINS ST

    CHEYENNE, WY 820011900

    Phone: (307) 426-4797

    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: 2024-02-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20231206000233IClinical Social WorkerWYTBD
I20240222000899IClinical Social WorkerCOTBD

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 82633)

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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: 8921311911View full group profile
NameSpecialtyState
-CO
Mental Health CounselorWY
Mental Health CounselorWY
Mental Health CounselorWY
Mental Health CounselorWY
Mental Health CounselorWY
Clinical Social WorkerWY
Mental Health CounselorWY
Clinical Social WorkerCO
Clinical Social WorkerWY

Reviews

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Frequently asked questions

What NPI should I save for TRACEY HARRIS (MSW, LCSW)?
Save NPI 1639843345 if you need a stable reference for TRACEY HARRIS (MSW, LCSW).
Is TRACEY HARRIS (MSW, LCSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize TRACEY HARRIS (MSW, LCSW)'s specialty in plain language?
Clinically, the directory lists TRACEY HARRIS (MSW, LCSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is TRACEY HARRIS (MSW, LCSW)'s primary listing?
We display Douglas, Wyoming because that is what the record indicates for TRACEY HARRIS (MSW, LCSW).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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