| Tracie Preli-derwin, Lcsw, Pllc | |
|
266 Meriden Ave Southington CT 06489-3629 | |
| (860) 414-3200 | |
| (860) 414-3625 |
| Full Name | Tracie Preli-derwin, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 266 Meriden Ave, Southington, Connecticut |
| Authorized Official Name and Position | Tracie L Preli-derwin (OWNER) |
| Authorized Official Contact | 8604143200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracie Preli-derwin, Lcsw, Pllc 125 Main Street Po Box 647 Southington CT 06489-9998 Ph: (860) 414-3200 | Tracie Preli-derwin, Lcsw, Pllc 266 Meriden Ave Southington CT 06489-3629 Ph: (860) 414-3200 |
| NPI Number | 1124608054 |
|---|---|
| Provider Enumeration Date | 04/13/2021 |
| Last Update Date | 04/13/2021 |
| Certification Date | 04/07/2021 |
| Medicare PECOS PAC ID | 4688072200 |
|---|---|
| Medicare Enrollment ID | O20211013000712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124608054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tracie Preli-derwin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497014344 PECOS PAC ID: 8426213000 Enrollment ID: I20120705000221 |
Thomas Finn, Ph.d., P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 N Main St, Southington, CT 06489 Phone: 860-628-6523 | |
J P Augustine Noonan Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 N Main St, 2c, Southington, CT 06489 Phone: 860-628-6281 Fax: 860-628-0219 | |
Metamorphosis Counseling And Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Main St Fl 2, Southington, CT 06489 Phone: 860-254-1064 | |
Wilcox Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 N Summit St, Southington, CT 06489 Phone: 860-266-6098 | |
Turning Point Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Center Street, Second Floor, Southington, CT 06489 Phone: 860-856-1696 Fax: 860-920-5222 | |
Behavioral Advocacy & Support, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 Harness Dr, Southington, CT 06489 Phone: 860-778-4514 | |
Weave Your Life Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 963 Queen St, Suite C, Southington, CT 06489 Phone: 860-819-8570 |