Tracey D Little, LCSW, CASAC is a
Social Worker - Clinical based in Forest Hills, New York. Tracey D Little is licensed to practice in New York (license number 083223-1) and her current practice location is
11835 Queens Blvd, Ste 400, Forest Hills, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 926-5462.
NPI number for Tracey D Little is 1558646448 and her current mailing address is 20417 Hillside Ave, Suite 332, Hollis, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558646448.
Healthcare Provider's Profile
| Full Name | Tracey D Little |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 11835 Queens Blvd, Forest Hills, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558646448
- Provider Enumeration Date: 10/11/2011
- Last Update Date: 08/18/2015
Medical Identifiers
Medical identifiers for Tracey D Little such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558646448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17106 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 083223-1 (New York) | 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. Tracey D Little 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 |
|---|
Tracey D Little, LCSW, CASAC
20417 Hillside Ave, Suite 332,
Hollis, NY 11423-2213
Ph: (718) 926-5462 | Tracey D Little, LCSW, CASAC
11835 Queens Blvd, Ste 400,
Forest Hills, NY 11375-7200
Ph: (718) 926-5462 |
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