Tracie Lynn Preli-derwin, | |
96 Connecticut Blvd, East Hartford, CT 06108-3013 | |
(860) 502-4908 | |
(860) 513-4828 |
Full Name | Tracie Lynn Preli-derwin |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 18 Years |
Location | 96 Connecticut Blvd, East Hartford, Connecticut |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497014344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 00734 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Staltaro Psychological Services Llc | 8729117155 | 2 |
Entity Name | Staltaro Psychological Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841522216 PECOS PAC ID: 8729117155 Enrollment ID: O20100524000743 |
Entity Name | Sunrise Psychological Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699199869 PECOS PAC ID: 7911130216 Enrollment ID: O20140512000200 |
Entity Name | Step Up Care Pc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
Entity Name | Tracie Preli-derwin Lcsw Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124608054 PECOS PAC ID: 4688072200 Enrollment ID: O20211013000712 |
Mailing Address | Practice Location Address |
---|---|
Tracie Lynn Preli-derwin, 96 Connecticut Blvd, East Hartford, CT 06108-3013 Ph: (860) 502-4908 | Tracie Lynn Preli-derwin, 96 Connecticut Blvd, East Hartford, CT 06108-3013 Ph: (860) 502-4908 |
Mrs. Sheila Ann Bridges-woods, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 588 Silver Ln, East Hartford, CT 06118 Phone: 860-770-8640 | |
Ms. Vanessa Marie Leone, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 89 Church St, East Hartford, CT 06108 Phone: 959-236-5984 | |
Miss Nicole Salisbury, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 800 Connecticut Blvd, East Hartford, CT 06108 Phone: 860-622-5341 | |
Karl Stephen Wilson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 98 Wakefield Cir # 98, East Hartford, CT 06118 Phone: 860-655-2429 | |
Cynthia Gillette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Clover Ln, East Hartford, CT 06118 Phone: 860-798-3385 | |
Nicole Osborne, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 94 Conn Blvd, East Hartford, CT 06108 Phone: 860-610-6160 | |
Mrs. Ursula Ann Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 450 Forbes St, East Hartford, CT 06118 Phone: 860-622-5340 Fax: 860-622-5342 |