Tracy A. Portz, LCSW
NPI 1215245311ActiveIndividual· Social Worker, Clinical· Cocoa, FL
Social Worker, Clinical (LCSW) with Blue Moon Senior Counseling, practicing in Cocoa, Florida. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1215245311 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Sep 23, 2010 |
| Last updated in NPPES | Jan 17, 2020 |
| Certified by provider | Jan 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | SW9780 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (FL) |
|---|
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Blue Moon Senior CounselingPalm Bay, FL · 26 clinicians
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All 32 clinical social workers in Cocoa · All clinical social workers in Florida