Individual provider Active NPI

Tracy Bodnar

  • Clinical Social Worker
  • Allentown, PA
National Provider Identifier
1235575382
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015655 Issued in PA
Practice address
2047 PA Route 309
Allentown, PA 18104-9307
Phone
(484) 276-4646
NPI assigned
May 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CW015655 PA
Clinical Social Worker 1041C0700X CW015655 PA Primary

Addresses

Primary practice location

2047 PA Route 309
Allentown, PA 18104-9307

Mailing address

2047 PA Route 309
Allentown, PA 18104-9307
Phone (484) 276-4646

Other practice location 1

4110 Independence Dr Ste 100
Schnecksville, PA 18078-2582
Phone (484) 276-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130916000011 PA Practitioner - Clinical Social Worker 8224272109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Calm Space LLC 13 clinicians

Practice addresses (Care Compare)

2047 PA Route 309
Allentown, PA 18104-9307
Phone (484) 276-4646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holcomb Associates, Inc. Current Accepting new patients
Holcomb Associates, Inc CurrentSince Jun 28, 2013 Accepting new patients
The Calm Space LLC Clinical CurrentSince Jul 1, 2024 Accepting new patients
Holcomb Associates, Inc. CurrentSince Jun 28, 2013 Accepting new patients

Locations

2047 Pa Route 309
Allentown, PA 18104
Phone (484) 276-4646

929 Northampton St
Easton, PA 18042
Phone (610) 330-9862

467 Creamery Way
Exton, PA 19341
Phone 61036314882136

4110 Independence Dr
Schnecksville, PA 18078
Phone (484) 276-4646

4110 Independence Dr
Ste 100
Schnecksville, PA 18078
Phone (484) 276-4646

Interoperability endpoints

  • Direct secure messaging: tracy.bodnar.1@33682.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1235575382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 PA ROUTE 309",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049307",
            "telephone_number": "484-276-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 PA ROUTE 309",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181049307",
            "telephone_number": "484-276-4646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4110 Independence Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Schnecksville",
            "state": "PA",
            "postal_code": "180782582",
            "country_code": "US",
            "telephone_number": "484-276-4646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODNAR",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "CW015655",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.