Tracy Clough, LCSW | |
515 Bridgeport Ave, Shelton, CT 06484-5366 | |
(973) 809-4722 | |
Not Available |
Full Name | Tracy Clough |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 515 Bridgeport Ave, Shelton, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083122550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10006 (Connecticut) | Primary |
Entity Name | United Community And Family Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467482539 PECOS PAC ID: 9032012497 Enrollment ID: O20040202000086 |
Mailing Address | Practice Location Address |
---|---|
Tracy Clough, LCSW 298 Park Ln, Trumbull, CT 06611-2254 Ph: (973) 809-4722 | Tracy Clough, LCSW 515 Bridgeport Ave, Shelton, CT 06484-5366 Ph: (973) 809-4722 |
Kelly Dougherty, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Trap Falls Rd Ste 120, Shelton, CT 06484 Phone: 203-816-6424 Fax: 203-513-8474 | |
Sandra Dickens, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Enterprise Dr Ste 415, Shelton, CT 06484 Phone: 203-255-5078 | |
Christine Zangrillo, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1000 Bridgeport Ave Ste 202, Shelton, CT 06484 Phone: 203-712-9998 Fax: 203-242-1165 | |
Mr. Kenneth Michael Lacilla, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 476 Howe Ave, Suite 4, Shelton, CT 06484 Phone: 203-924-9426 | |
Cori Testani, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Trap Falls Rd, Shelton, CT 06484 Phone: 203-816-6424 | |
Jennifer Dawn Guarino, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 476 Howe Ave Ste 4, Shelton, CT 06484 Phone: 203-924-9426 |