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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679736011

Tracy M Bodford, LCSW is an Addiction (Substance Use Disorder) Counselor in Jacksonville, Florida. Works from 2 locations. Licensed in Florida and North Carolina.

Licensed in
FL, NC
In the registry since
2008
Specialties on file
2
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

4500 San Pablo Rd S
Jacksonville, FL 32224
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 501 Biltmore Ave, Asheville, NC 28801-4601 — (828) 213-4502

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW15499 (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence C006079 (NC)

Record details

NPI number1679736011
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 7, 2008
Last updated in NPPESOctober 12, 2020
Certification dateOctober 12, 2020

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