Tracy Clough, LCSW, LLC
Clinic/Center, Adult Mental Health in Shelton, Connecticut
1992207690- Practice location
- 515 Bridgeport Ave, Journey To Wellness Suite, Shelton, CT 06484
- Phone
- 203-814-8113
- Fax
- —
- Last updated
- March 17, 2018
Tracy Clough, LCSW, LLC is a healthcare organization based in Shelton, CT. Tracy Clough, LCSW, LLC practices in Shelton, CT. The NPI Number for Tracy Clough, LCSW, LLC is 1992207690 and holds a License No. 010006 (CT). The current practice location address for Tracy Clough, LCSW, LLC is 515 Bridgeport Ave, Journey To Wellness Suite, Shelton, CT 06484 and can be reached out via phone at 203-814-8113.
Provider Profile Details
- NPI Number
- 1992207690
- Provider Name
- Tracy Clough, LCSW, LLC
- Provider Entity Type
- Organization
- Address
- 515 Bridgeport Ave, Journey To Wellness Suite, Shelton, CT 06484
- Phone Number
- 203-814-8113
- Primary Taxonomy
- Clinic/Center, Adult Mental Health · 261QM0850X
- Organization Subpart
- No
- Authorized Official
- Tracy Clough, LCSW · Owner · 973-809-4722
- Provider Enumeration Date
- March 8, 2018
- Last Update Date
- March 17, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 515 Bridgeport Ave
Journey To Wellness Suite
Shelton, CT 06484 - City
- Shelton
- State
- Connecticut
- Zip
- 06484
- Phone Number
- 203-814-8113
Provider Business Mailing Address Details
- Address
- 298 Park Ln
Trumbull, CT 06611-2254 - City
- Trumbull
- State
- CT
- Zip
- 06611-2254
- Phone Number
- 973-809-4722
License Information
- License Number (1)
- 010006
- License State (1)
- CT
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- License Number (2)
- 010006
- License State (2)
- CT
- Taxonomy (2)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- License Number (3)
- 010006
- License State (3)
- CT
- Taxonomy (3)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- License Number (4)
- 010006
- License State (4)
- CT
- Taxonomy (4)
- Clinic/Center, Adult Mental Health · 261QM0850X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Clough, LCSW, LLC?
The NPI number of Tracy Clough, LCSW, LLC is 1992207690. It was assigned on March 8, 2018 and is currently active in the NPPES registry.
What is the specialty of Tracy Clough, LCSW, LLC?
Tracy Clough, LCSW, LLC is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X), licensed in CT under license number 010006.
Where does Tracy Clough, LCSW, LLC practice?
The practice location is 515 Bridgeport Ave, Journey To Wellness Suite, Shelton, CT 06484. The office can be reached at 203-814-8113 (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 1992207690 directly on the NPPES registry website.