Traci Fuglestad, is a
Counselor - Mental Health based in Macclenny, Florida. Traci Fuglestad is licensed to practice in Florida (license number SW26623) and their current practice location is
84 W Lowder St, Macclenny, Florida. This provider can be reached at their office (for appointments etc.) via phone at
(352) 374-5600.
NPI number for Traci Fuglestad is 1265346696 and their current mailing address is 4300 Sw 13th St, Gainesville, Florida. This provider
does not participate in medicare program and thus does not accept medicare assignments. Their NPI Number is 1265346696.
Healthcare Provider's Profile
| Full Name | Traci Fuglestad |
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| Gender | |
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| Speciality | Counselor - Mental Health |
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| Location | 84 W Lowder St, Macclenny, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. This provider may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265346696
- Provider Enumeration Date: 10/01/2026
- Last Update Date: 10/01/2026
Medical Identifiers
Medical identifiers for Traci Fuglestad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1265346696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | SW26623 (Florida) | Secondary |
| 101YM0800X | Counselor - Mental Health | SW26623 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Traci Fuglestad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Traci Fuglestad, 4300 Sw 13th St, Gainesville, FL 32608-4006 Ph: Not Available | Traci Fuglestad, 84 W Lowder St, Macclenny, FL 32063-2638 Ph: (352) 374-5600 |
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