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

Tracey Lazore, MSW

Individual provider Clinical Social Worker · NPI 1548996887

Tracey Lazore, MSW is a Clinical Social Worker in Camden, New York. Qualified in 2022, 4 years ago. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

40 Main St
Camden, NY 13316-1302
Phone: (315) 533-2570
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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 P116333 (NY)

Record details

NPI number1548996887
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedJuly 28, 2022
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022
Mailing address1759 Newport Rd, Poland, NY 13431-1708

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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