Active NPIIndividual provider

Tracy H Bousquet, LMSW

Social Worker, Clinical in Rego Park, New York

NPI Number1508465105
Practice location
98120 Queens Blvd Ste 1C, Rego Park, NY 11374-4414
Fax
—
Last updated
October 29, 2020

Tracy Hazan Bousquet is a Social Worker, Clinical based in Rego Park, NY. Tracy Hazan Bousquet practices in Rego Park, NY and has the professional credentials of LMSW. The NPI Number for Tracy Hazan Bousquet is 1508465105 and holds a License No. 44SL06560300 (NJ). The current practice location address for Tracy Hazan Bousquet is 98120 Queens Blvd Ste 1C, Rego Park, NY 11374-4414 and can be reached out via phone at 718-830-0246.

Provider Profile Details

NPI Number
1508465105
Provider Name
Tracy Hazan Bousquet
Credential
LMSW
Provider Entity Type
Individual
Gender
Female
Address
98120 Queens Blvd Ste 1C, Rego Park, NY 11374-4414
Phone Number
718-830-0246
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
October 23, 2020
Last Update Date
October 29, 2020
Certification Date
October 29, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
98120 Queens Blvd Ste 1C
Rego Park, NY 11374-4414
Zip
11374-4414
Phone Number
718-830-0246
Rego Park, NY 11374Get directions →

Provider Business Mailing Address Details

Address
65 N Fullerton Ave Apt 36
Montclair, NJ 07042-3837
City
Montclair
State
NJ
Zip
07042-3837
Phone Number
917-741-5535

License Information

Taxonomy (1)
Counselor · 101Y00000X
Taxonomy (3)
Counselor, Mental Health · 101YM0800X
Taxonomy (4)
Counselor, Professional · 101YP2500X
License Number (5)
44SL06560300
License State (5)
NJ
Taxonomy (5)
Social Worker, Clinical · 1041C0700X
License Number (6)
094756
License State (6)
NY
Taxonomy (6)
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 H Bousquet, LMSW?

The NPI number of Tracy H Bousquet, LMSW is 1508465105. It was assigned on October 23, 2020 and is currently active in the NPPES registry.

What is the specialty of Tracy H Bousquet, LMSW?

Tracy H Bousquet, LMSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SL06560300.

Where does Tracy H Bousquet, LMSW practice?

The practice location is 98120 Queens Blvd Ste 1C, Rego Park, NY 11374-4414. The office can be reached at 718-830-0246 (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 1508465105 directly on the NPPES registry website.

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