Tracy Hazan Bousquet, LMSW is a
Social Worker - Clinical based in Rego Park, New York. Tracy Hazan Bousquet is licensed to practice in New York (license number 094756) and her current practice location is
98120 Queens Blvd Ste 1c, Rego Park, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 830-0246.
NPI number for Tracy Hazan Bousquet is 1508465105 and her current mailing address is 65 N Fullerton Ave Apt 36, Montclair, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508465105.
Healthcare Provider's Profile
| Full Name | Tracy Hazan Bousquet |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 98120 Queens Blvd Ste 1c, Rego Park, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508465105
- Provider Enumeration Date: 10/23/2020
- Last Update Date: 10/29/2020
Medical Identifiers
Medical identifiers for Tracy Hazan Bousquet such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508465105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 44SL06560300 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 094756 (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. Tracy Hazan Bousquet 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 |
|---|
Tracy Hazan Bousquet, LMSW
65 N Fullerton Ave Apt 36,
Montclair, NJ 07042-3837
Ph: (917) 741-5535 | Tracy Hazan Bousquet, LMSW
98120 Queens Blvd Ste 1c,
Rego Park, NY 11374-4414
Ph: (718) 830-0246 |
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