Active NPIIndividual provider

Kelly Tarascio, LCSW

Social Worker, Clinical in Middlebury, Connecticut

NPI Number1174112262
Practice location
900 Straits Tpke Ste 203A, Middlebury, CT 06762-2800
Fax
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Last updated
October 25, 2024

Kelly Tarascio is a Social Worker, Clinical based in Middlebury, CT. Kelly Tarascio practices in Middlebury, CT and has the professional credentials of LCSW. The NPI Number for Kelly Tarascio is 1174112262 and holds a License No. 12267 (CT). The current practice location address for Kelly Tarascio is 900 Straits Tpke Ste 203A, Middlebury, CT 06762-2800 and can be reached out via phone at 203-819-0789.

Provider Profile Details

NPI Number
1174112262
Provider Name
Kelly Tarascio
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
900 Straits Tpke Ste 203A, Middlebury, CT 06762-2800
Phone Number
203-819-0789
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
January 13, 2021
Last Update Date
October 25, 2024
Certification Date
October 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 Straits Tpke Ste 203A
Middlebury, CT 06762-2800
Zip
06762-2800
Phone Number
203-819-0789
Middlebury, CT 06762Get directions →

Provider Business Mailing Address Details

Address
900 Straits Tpke
Middlebury, CT 06762-2865
City
Middlebury
State
CT
Zip
06762-2865

License Information

License Number
12267
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 Kelly Tarascio, LCSW?

The NPI number of Kelly Tarascio, LCSW is 1174112262. It was assigned on January 13, 2021 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), licensed in CT under license number 12267.

Where does Kelly Tarascio, LCSW practice?

The practice location is 900 Straits Tpke Ste 203A, Middlebury, CT 06762-2800. The office can be reached at 203-819-0789 (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 1174112262 directly on the NPPES registry website.

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