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Tracy So

Social Worker in Bronx, NY. Individual provider (NPI-1).

NPI number1457066375
StatusActive
Last updated in NPPESJan 16, 2023

Details

NPI
1457066375
Entity type
Individual (NPI-1)
Name
Tracy So
Sex
Female
Sole proprietor
No
Enumeration date
Jan 16, 2023
Certification date
Jan 15, 2023
Last updated
Jan 16, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Practice location

3250 Westchester Ave Ste 202
Bronx, NY 10461-4580

Phone 631-743-0724

Mailing address

3250 Westchester Ave Ste 202
Bronx, NY 10461-4580

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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