Casey, Tracy Lynn

Casey, Tracy Lynn is an individual health care provider with primary practice located at 275 Belmont St , Worcester MA 01604-1675. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Casey, Tracy Lynn can be contacted via phone (508) 421-4466.

Contact Information

Primary practice address
275 Belmont St Worcester MA 01604-1675
Phone: (508) 421-4466
Fax: (508) 795-1338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 215093 Massachusetts

Profile Details

NPI number 1174769798
LBN Legal business name Casey, Tracy Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2009
Last updated Nov 20th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174769798 NPPES
Massachusetts MEDICAID 1306421
Massachusetts Other M18684
Massachusetts MEDICAID 1308785

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