Tracy Clough, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10006 Issued in CT

Practice address

515 Bridgeport Ave
Shelton, CT 06484-5366

Phone

(973) 809-4722

NPI assigned

Jan 17, 2018

Last updated

Jan 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• United Community and Family Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Norwich, CT
  • NPI 1467482539
  Medicare reassignment NPD
• CT Psych Now LLC

  • Clinical Social Worker
  • Cromwell, CT
  • NPI 1437506656
  Medicare reassignment
• Tracy Clough, LCSW, LLC

  • Adult Mental Health Clinic/Center
  • Shelton, CT
  • NPI 1992207690
  NPD (past) Authorized official
• United Community and Family Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Norwich, CT
  • NPI 1558366757
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1083122550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 PARK LN",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066112254",
            "telephone_number": "973-809-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BRIDGEPORT AVE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064845366",
            "telephone_number": "973-809-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUGH",
        "first_name": "TRACY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindi Dubois, LCSW, LLC
• Maria Cipriano-Defiore, RDH
• Denise Blaine Cirillo-Romaniello, MSW LCSW
• CK Performance and Chiropractic LLC
• Clarity of Mind Counseling LLC
• Lorraine M Coakley, MS LADC
• Cocchiola & Cocchiola DMD LLC
• C Ronald Cocchiola, DMD
• Camille Cochran, LCSW
• Kelsey Cognetta, PT, DPT

• Clinical Social Worker in Shelton, CT
• Providers in Shelton, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.