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

MS. Tracy L Pequignot, LCSW

Individual provider Clinical Social Worker · NPI 1639340300

MS. Tracy L Pequignot, LCSW is a Clinical Social Worker in Wellsboro, Pennsylvania. Qualified in 1995, 31 years ago. Works from 4 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
31
Licensed in
PA
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

7095 Route 287
Wellsboro, PA 16901
Phone: (570) 724-5272
Fax: (570) 724-4512
Show map & directions

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

Additional practice locations (3)

  • 206 Main St Ste 5, Blossburg, PA 16912-1172 — (570) 724-5272
  • 107 Main St Unit 3, Wellsboro, PA 16901-1518 — (570) 723-1005
  • Po Box 685, Wellsboro, PA 16901-0685 — (570) 724-5272

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CW015745 (PA)

Record details

NPI number1639340300
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 20, 2008
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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