Active NPIOrganization

Kelly Tarascio LCSW

Social Worker, Clinical in Woodbury, Connecticut

NPI Number1114749827
Practice location
787 Main St S Unit A-4, Woodbury, CT 06798-3741
Fax
—
Last updated
August 12, 2026

Kelly Tarascio LCSW is a healthcare organization based in Woodbury, CT. Kelly Tarascio LCSW practices in Woodbury, CT. The NPI Number for Kelly Tarascio LCSW is 1114749827. The current practice location address for Kelly Tarascio LCSW is 787 Main St S Unit A-4, Woodbury, CT 06798-3741 and can be reached out via phone at 203-558-0056.

Provider Profile Details

NPI Number
1114749827
Provider Name
Kelly Tarascio LCSW
Provider Entity Type
Organization
Address
787 Main St S Unit A-4, Woodbury, CT 06798-3741
Phone Number
203-558-0056
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Kelly Tarascio, LCSW · Owner · 203-558-0056
Provider Enumeration Date
October 25, 2024
Last Update Date
August 12, 2026
Certification Date
August 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
787 Main St S Unit A-4
Woodbury, CT 06798-3741
Zip
06798-3741
Phone Number
203-558-0056
Woodbury, CT 06798Get directions →

Provider Business Mailing Address Details

Address
787 Main St S Unit A-4
Woodbury, CT 06798-3741
City
Woodbury
State
CT
Zip
06798-3741
Phone Number
203-558-0056

License Information

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 Kelly Tarascio LCSW?

The NPI number of Kelly Tarascio LCSW is 1114749827. It was assigned on October 25, 2024 and is currently active in the NPPES registry.

What is the specialty of Kelly Tarascio LCSW?

Kelly Tarascio LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Kelly Tarascio LCSW practice?

The practice location is 787 Main St S Unit A-4, Woodbury, CT 06798-3741. The office can be reached at 203-558-0056 (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 1114749827 directly on the NPPES registry website.

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