Tracy Pederson, LCDCIII, SWA
NPI 1134624943 · Addiction (Substance Use Disorder) Counselor · Waverly, OH
Tracy Pederson, LCDCIII, SWA is a Addiction (Substance Use Disorder) Counselor provider in Waverly, OH (NPI 1134624943).
Provider details
- NPI number
- 1134624943
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LCDCIII, SWA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 161646 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-03-26
- Last updated
- 2018-03-26
Frequently asked questions
- What is Tracy Pederson's NPI number?
- Tracy Pederson's National Provider Identifier (NPI) is 1134624943, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracy Pederson's specialty?
- Tracy Pederson is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Tracy Pederson located?
- Tracy Pederson's practice location on file with NPPES is 102 Dawn Ln, Waverly, OH 45690-9695.
- What is Tracy Pederson's phone number?
- The practice phone number listed in the NPPES registry for Tracy Pederson is (740) 947-7783.
- Is Tracy Pederson's NPI active?
- Yes — Tracy Pederson's NPI (1134624943) is active in the NPPES registry as of the last update on 2018-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.