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

Tracey Nicole Tedder, BSW

Individual provider Case Manager/Care Coordinator · NPI 1487453288

Tracey Nicole Tedder, BSW is a Clinical Social Worker in Laramie, Wyoming. Qualified in 2025, 1 year ago. Licensed in Wyoming.

Years since qualifying
1
Licensed in
WY
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1263 N 15th St
Laramie, WY 82072-2343
Phone: (307) 674-4405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence PCSW-1237 (WY)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1487453288
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSW
Sole proprietorNo
NPI enumeratedMarch 12, 2025
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Laramie