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Tracey Elaine Holmes

Social Worker

Behavioral Health & Social Service Providers

8900 Van Wyck Expy, Richmond Hill, NY 11418-2897

PECOS Enrollment

This provider is enrolled in PECOS as TRACEY HOLMES.

Based on the most recent information from CMS, provider Tracey Elaine Holmes is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1841472008
Provider Type
Individual
Full Name
Holmes, Tracey Elaine
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
11/29/2007
Last Updated
1/16/2024

Contact Information

Practice Location

8900 Van Wyck Expy, Richmond Hill, NY 11418-2897

(718) 206-6000

Unlisted Fax

Mailing Location

138 N Central Ave Apt 2b, Valley Stream, NY 11580-3852

(718) 206-6000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 096800 New York

Provider Identifiers

ID	Description	Issuer
ID 096800	Description Other	Issuer LCSW New York

Tracey Elaine Holmes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Concern4community Lcsw Services Pllc

Jacobs, Karen

Guelbart, Noelle L

Nancy Lynn Burgos Lcsw Pllc

Agoado, Barry I.

Patel, Alpana

Nugent, Brigid

Torres, Carolyn

Sigismondi, Lisa V.

Morrison-Taylor, Evadne Viola