Active NPIOrganization

Tracie Preli-Derwin, LCSW, PLLC

Social Worker, Clinical in Southington, Connecticut

NPI Number1124608054
Practice location
266 Meriden Ave, Southington, CT 06489-3629
Fax
860-414-3625
Last updated
April 13, 2021

Tracie Preli-Derwin, LCSW, PLLC is a healthcare organization based in Southington, CT. Tracie Preli-Derwin, LCSW, PLLC practices in Southington, CT. The NPI Number for Tracie Preli-Derwin, LCSW, PLLC is 1124608054. The current practice location address for Tracie Preli-Derwin, LCSW, PLLC is 266 Meriden Ave, Southington, CT 06489-3629 and can be reached out via phone at 860-414-3200 and via fax at 860-414-3625.

Provider Profile Details

NPI Number
1124608054
Provider Name
Tracie Preli-Derwin, LCSW, PLLC
Provider Entity Type
Organization
Address
266 Meriden Ave, Southington, CT 06489-3629
Phone Number
860-414-3200
Fax Number
860-414-3625
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Mrs. Tracie L Preli-Derwin, LCSW · Owner · 860-414-3200
Provider Enumeration Date
April 13, 2021
Last Update Date
April 13, 2021
Certification Date
April 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
266 Meriden Ave
Southington, CT 06489-3629
Zip
06489-3629
Phone Number
860-414-3200
Fax Number
860-414-3625
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
125 Main Street Po Box 647
Southington, CT 06489-9998
City
Southington
State
CT
Zip
06489-9998
Phone Number
860-414-3200
Fax Number
860-414-3625

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 Tracie Preli-Derwin, LCSW, PLLC?

The NPI number of Tracie Preli-Derwin, LCSW, PLLC is 1124608054. It was assigned on April 13, 2021 and is currently active in the NPPES registry.

What is the specialty of Tracie Preli-Derwin, LCSW, PLLC?

Tracie Preli-Derwin, LCSW, PLLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Tracie Preli-Derwin, LCSW, PLLC practice?

The practice location is 266 Meriden Ave, Southington, CT 06489-3629. The office can be reached at 860-414-3200 (phone) or 860-414-3625 (fax).

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 1124608054 directly on the NPPES registry website.

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