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

MS. Tracy Margaret Fredericks, LCSW, MSW

Individual provider Clinical Social Worker · NPI 1831851674

MS. Tracy Margaret Fredericks, LCSW, MSW is a Clinical Social Worker in South Orange, New Jersey. Qualified in 1996, 30 years ago. Practices with Sailor Health Medical PA, a 263-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.

Years since qualifying
30
Licensed in
NJ
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

4 S Orange Avenue Pmb #258
South Orange, NJ 07079-2125
Phone: (973) 255-9188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 44SC06399500 (NJ)

Record details

NPI number1831851674
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , MSW
Sole proprietorYes
NPI enumeratedOctober 8, 2021
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Sailor Health Medical Pa — 263 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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