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

Tracy R. Fawver, LCSW

Individual provider Clinical Social Worker · NPI 1275201725

Tracy R. Fawver, LCSW is a Clinical Social Worker in Albuquerque, New Mexico. Qualified in 2019, 7 years ago. Accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
7
Licensed in
NM
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.

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Practice location Address checks out

5345 Wyoming Blvd NE Ste 107
Albuquerque, NM 87109-3193
Phone: (505) 238-3345
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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 M-11646 (NM)

Record details

NPI number1275201725
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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