MS. TRACY L PEQUIGNOT LCSW
NPI 1639340300
Social Worker - Clinical in Wellsboro, PA

Active since March 20, 2008PECOS EnrolledAccepts Medicare Assignment
7095 ROUTE 287, WELLSBORO, PA 16901(570) 724-5272(570) 724-4512 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 31, 2018 (2 updates tracked since 2018).

About Ms. Tracy L Pequignot Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TRACY L PEQUIGNOT LCSW (NPI 1639340300) is an individual clinical provider in Wellsboro, Pennsylvania, licensed in Pennsylvania (CW015745) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1639340300
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. TRACY L PEQUIGNOTCredential: LCSW
Location Address7095 ROUTE 287Wellsboro, PA 16901
Mailing Address7095 Route 287, Po Box 685Wellsboro, PA 16901-6711 · (570) 724-5272 · Fax (570) 724-4512
Fax(570) 724-4512
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMarch 20, 2008
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1639340300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in PA · CW015745
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

7095 ROUTE 287, Wellsboro, PA 16901

Secondary Practice Locations 3

Location 1107 Main St Unit 3Wellsboro, PA 16901-1518 · Phone (570) 723-1005 · Fax (570) 723-1006
Location 2PO Box 685Wellsboro, PA 16901-0685 · Phone (570) 724-5272 ext. 227 · Fax (570) 724-4512
Location 3206 Main St Ste 5Blossburg, PA 16912-1172 · Phone (570) 724-5272 ext. 227 · Fax (570) 724-4512

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Tracy L Pequignot Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254651938
PECOS Enrollment IDI20150520001324
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
7095 ROUTE 287
WELLSBORO, PA 16901
Counselor (Addiction (Substance Use Disorder))
7095 ROUTE 287
WELLSBORO, PA 16901
Counselor (Mental Health)
7095 ROUTE 287
WELLSBORO, PA 16901
Counselor (Professional)
7095 ROUTE 287
WELLSBORO, PA 16901
Counselor (Addiction (Substance Use Disorder))
7095 ROUTE 287
WELLSBORO, PA 16901
Counselor (Addiction (Substance Use Disorder))
7095 ROUTE 287
WELLSBORO, PA 16901
Counselor (Addiction (Substance Use Disorder))
7095 ROUTE 287
WELLSBORO, PA 16901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Pequignot's NPI number?

The NPI number for Tracy Pequignot is 1639340300. It was assigned to this individual provider in the NPPES registry on March 20, 2008.

Where is Tracy Pequignot located?

Tracy Pequignot practices at 7095 Route 287, Wellsboro, PA 16901. The listed phone number is (570) 724-5272.

What is Tracy Pequignot's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tracy Pequignot enrolled in Medicare?

Yes. Tracy Pequignot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tracy Pequignot accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tracy Pequignot as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracy Pequignot was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.