| Tracy Clough, LCSW | |
|
515 Bridgeport Ave, Shelton, CT 06484-5366 | |
| (973) 809-4722 | |
| Not Available |
| Full Name | Tracy Clough |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 515 Bridgeport Ave, Shelton, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083122550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10006 (Connecticut) | Primary |
| Entity Name | United Community And Family Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467482539 PECOS PAC ID: 9032012497 Enrollment ID: O20040202000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Clough, LCSW 298 Park Ln, Trumbull, CT 06611-2254 Ph: (973) 809-4722 | Tracy Clough, LCSW 515 Bridgeport Ave, Shelton, CT 06484-5366 Ph: (973) 809-4722 |
Kelly Dougherty, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Trap Falls Rd Ste 120, Shelton, CT 06484 Phone: 203-816-6424 Fax: 203-513-8474 | |
Sandra Dickens, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Enterprise Dr Ste 415, Shelton, CT 06484 Phone: 203-255-5078 | |
Christine Zangrillo, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1000 Bridgeport Ave Ste 202, Shelton, CT 06484 Phone: 203-712-9998 Fax: 203-242-1165 | |
Mr. Kenneth Michael Lacilla, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 476 Howe Ave, Suite 4, Shelton, CT 06484 Phone: 203-924-9426 | |
Cori Testani, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Trap Falls Rd, Shelton, CT 06484 Phone: 203-816-6424 | |
Jennifer Dawn Guarino, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 476 Howe Ave Ste 4, Shelton, CT 06484 Phone: 203-924-9426 |