TRACY M BODFORD LCSW
NPI 1679736011
Social Worker - Clinical in Jacksonville, FL

Q: What is Tracy Bodford's NPI number?

The NPI number for Tracy Bodford is 1679736011. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Q: What is Tracy Bodford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracy Bodford was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 07, 2008PECOS Enrolled

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2000 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2020, Dec 20, 2019, Oct 18, 2019 and 1 more (4 updates tracked since 2015).

On this page

About Tracy M Bodford Lcsw NPPES

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

TRACY M BODFORD LCSW (NPI 1679736011) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW15499) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Asheville.

NPPES Registry Identity

NPI1679736011

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTRACY M BODFORDCredential: LCSW

Location Address4500 SAN PABLO RD SJacksonville, FL 32224

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865 · (904) 953-2000

Phone(904) 953-2000

Sole ProprietorNo

Enumeration DateJuly 7, 2008

Last NPPES UpdateOctober 12, 20204 updates tracked since enumeration

NPPES CertifiedOctober 12, 2020

✔ NPI 1679736011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · SW15499

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C006079 (NC)

4500 SAN PABLO RD S, Jacksonville, FL 32224

Open in Google Maps ↗

Secondary Practice Location 1

Location 1501 Biltmore Ave, Suite G276.1Asheville, NC 28801-4601 · Phone (828) 213-4502 · Fax (828) 681-1577

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy M Bodford Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 32224 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 $56.00 – $171.84

Typical copayment $0.00 (range $14.00 – $42.96)

Most-billed visit code NA

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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 20

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

KATHERINE L WALSH PA-C/MPH

Physician Assistant