Individual provider · Type 1 NPI

Tracy L. Pequignot, LCSW

Clinical Social Worker · Wellsboro, PA

NPI number 1639340300 Active

Practice location

7095 Route 287
Wellsboro, PA 16901

Fax (570) 724-4512

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW015745 (PA)

Clinical Social Worker: 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 interpers…

7 other providers at this address

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About NPI 1639340300

Tracy L. Pequignot, LCSW's National Provider Identifier is 1639340300, issued on Mar 20, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wellsboro, PA. The record was last updated on Jul 21, 2022.