| Tracy Hart, Lcsw Psychotherapy Services Llc | |
|
7 Old Sherman Tpke Suite 107 Danbury CT 06810-4174 | |
| (203) 913-0250 | |
| Not Available |
| Full Name | Tracy Hart, Lcsw Psychotherapy Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7 Old Sherman Tpke, Danbury, Connecticut |
| Authorized Official Name and Position | Tracy Hart (OWNER) |
| Authorized Official Contact | 2039130250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Hart, Lcsw Psychotherapy Services Llc 120 Chestnut Tree Hill Road Ext Oxford CT 06478-1432 Ph: () - | Tracy Hart, Lcsw Psychotherapy Services Llc 7 Old Sherman Tpke Suite 107 Danbury CT 06810-4174 Ph: (203) 913-0250 |
| NPI Number | 1164664793 |
|---|---|
| Provider Enumeration Date | 03/27/2009 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Medicare PECOS PAC ID | 5496128530 |
|---|---|
| Medicare Enrollment ID | O20230310001024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164664793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 005294 (Connecticut) | Primary |
| Provider Name | Tracy Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124272414 PECOS PAC ID: 7517926744 Enrollment ID: I20041005000231 |
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