Active NPIIndividual providerSole proprietor

Tracy Blasioli, LCSW

Social Worker, Clinical in Waterford, Connecticut

NPI Number1063961571
Practice location
125 Boston Post RD, Waterford, CT 06385-2841
Fax
—
Last updated
September 26, 2016

Tracy Blasioli is a Social Worker, Clinical based in Waterford, CT. Tracy Blasioli practices in Waterford, CT and has the professional credentials of LCSW. The NPI Number for Tracy Blasioli is 1063961571 and holds a License No. 009551 (CT). The current practice location address for Tracy Blasioli is 125 Boston Post RD, Waterford, CT 06385-2841 and can be reached out via phone at 860-917-0790.

Provider Profile Details

NPI Number
1063961571
Provider Name
Tracy Blasioli
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
125 Boston Post RD, Waterford, CT 06385-2841
Phone Number
860-917-0790
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 26, 2016
Last Update Date
September 26, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Boston Post RD
Waterford, CT 06385-2841
Zip
06385-2841
Phone Number
860-917-0790
Waterford, CT 06385Get directions →

Provider Business Mailing Address Details

Address
25 Mayfield Ter
East Lyme, CT 06333-1327
City
East Lyme
State
CT
Zip
06333-1327

License Information

License Number
009551
License State
CT
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tracy Blasioli, LCSW?

The NPI number of Tracy Blasioli, LCSW is 1063961571. It was assigned on September 26, 2016 and is currently active in the NPPES registry.

What is the specialty of Tracy Blasioli, LCSW?

Tracy Blasioli, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 009551.

Where does Tracy Blasioli, LCSW practice?

The practice location is 125 Boston Post RD, Waterford, CT 06385-2841. The office can be reached at 860-917-0790 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063961571 directly on the NPPES registry website.

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