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MRS. TRACY ANN DIFONZO LCSW
NPI 1790300937
Social Worker - Clinical in Wyndmoor, PA

Active since June 13, 2020Opted out of Medicare · through Aug 29, 2026
504 SPRING LN, WYNDMOOR, PA 19038(610) 420-4263 Get Directions Write a Review

NPPES record last updated: June 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tracy Ann Difonzo Lcsw NPPES

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

MRS. TRACY ANN DIFONZO LCSW (NPI 1790300937) is an individual clinical provider in Wyndmoor, Pennsylvania, licensed in Pennsylvania (015602) and active in the NPI registry since June 2020. She has opted out of Medicare through August 29, 2026.

NPPES Registry Identity

NPI1790300937
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. TRACY ANN DIFONZOCredential: LCSW
Location Address504 SPRING LNWyndmoor, PA 19038-8413
Mailing Address504 Spring LnWyndmoor, PA 19038-8413 · (610) 420-4263
Phone(610) 420-4263
Sole ProprietorYes
Enumeration DateJune 13, 2020
NPPES CertifiedJune 13, 2020
✔ NPI 1790300937 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 · 015602
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.
504 SPRING LN, Wyndmoor, PA 19038
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Tracy Ann Difonzo Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 29, 2024 through August 29, 2026.

Opt-Out Effective DateAugust 29, 2024
Opt-Out In Effect ThroughAugust 29, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. MATTHEW DARRELL FREY DMD
Dentist
504 SPRING LN
WYNDMOOR, PA 19038
Montgomery County (267) 682-0989

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 Difonzo's NPI number?

The NPI number for Tracy Difonzo is 1790300937. It was assigned to this individual provider in the NPPES registry on June 13, 2020.

Where is Tracy Difonzo located?

Tracy Difonzo practices at 504 Spring Ln, Wyndmoor, PA 19038. The listed phone number is (610) 420-4263.

What is Tracy Difonzo's specialty?

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

Is Tracy Difonzo enrolled in Medicare?

No. Tracy Difonzo has opted out of Medicare through August 29, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tracy Difonzo was last updated on June 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.