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

Tracy Ann Merriam, LCSW

Individual provider Clinical Social Worker · NPI 1104572288

Tracy Ann Merriam, LCSW is a Clinical Social Worker in Bandon, Oregon. Qualified in 2000, 26 years ago. Practices with North Bend Medical Center Inc, a 91-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
26
Licensed in
OR
In the registry since
2022
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

110 10th St SE
Bandon, OR 97411-9157
Phone: (541) 347-5191
Fax: (541) 266-4578
Show map & directions

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

Additional practice locations (1)

  • 1900 Woodland Dr, Coos Bay, OR 97420-2099 — (541) 267-5151

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3420 (OR)

Record details

NPI number1104572288
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 26, 2022
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024

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 North Bend Medical Center Inc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bandon