Kelly Tarascio LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KELLY TARASCIO LCSW

Practice address

787 Main St S Unit a-4
Woodbury, CT 06798-3741

Phone

(203) 558-0056

NPI assigned

Oct 25, 2024

Last updated

Aug 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Tarascio, LCSWNPI 1174112262

Title

Owner

Phone

(203) 558-0056

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Tarascio, LCSW

  • Clinical Social Worker
  • Middlebury, CT
  • NPI 1174112262
  NPD Authorized official
• Sally Dunne Romano, M.D.

  • Psychiatry Physician
  • West Haven, CT
  • NPI 1396911178
  NPD (past)

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1114749827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 MAIN ST S UNIT A-4",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983741",
            "telephone_number": "203-558-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 MAIN ST S UNIT A-4",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983741",
            "telephone_number": "203-558-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY TARASCIO LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "TARASCIO",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-558-0056",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Giustra-Kozek LPC LLC (Family Wellness and Psychotherapy Center)
• JMP Therapy LLC
• John Louis Renzulli
• Heather Susan Jones, L.M.F.T
• Kelly Palchik DMD, PC
• Kenneth L. Burke, O.D.
• Kevin Moshier LCSW LLC
• Lana Lachance LLC
• Lance E. Banwell,DDS,PC
• Tracy Langlois, M.S.,CCC-SLP

• Clinical Social Worker in Woodbury, CT
• Providers in Woodbury, 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 Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.