Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tracie Michelle Theotokas, LCSW

Individual provider Social Worker · NPI 1477621704

Mrs. Tracie Michelle Theotokas, LCSW is a Clinical Social Worker in Dix Hills, New York. Qualified in 2000, 26 years ago. Practices with Mindful Therapy LCSW PLLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

318 Nielson St
Dix Hills, NY 11746-7029
Phone: (212) 681-0383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 318 Nielson St, Dix Hills, NY 11746-7029 — (212) 681-0383

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 074639-1 (NY)

Record details

NPI number1477621704
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESSeptember 17, 2021
Certification dateAugust 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Mindful Therapy Lcsw Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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