Individual provider Active NPI

Tracy L. Hart, LCSW

  • Clinical Social Worker
  • Danbury, CT
National Provider Identifier
1124272414
Registry record updated Nov 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005294 Issued in CT
Practice address
7 Old Sherman Tpke
Suite 205
Danbury, CT 06810-4174
Phone
(203) 913-0250
NPI assigned
Nov 12, 2008
Last updated
Nov 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 005294 CT Primary

Addresses

Primary practice location

7 Old Sherman Tpke
Suite 205
Danbury, CT 06810-4174

Mailing address

120 Chestnut Tree Hill Road Ext
Oxford, CT 06478-1432
Phone (203) 913-0250

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041005000231 CT Practitioner - Clinical Social Worker 7517926744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7 Old Sherman Tpke
Suite 102
Danbury, CT 06810-4174
Phone (203) 913-0250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005294CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tracy Hart, LCSW Psychotherapy Services LLC Clinical CurrentSince Jan 11, 2023 Accepting new patients

Locations

7 Old Sherman Tpke
Ste 102
Danbury, CT 06810
Phone (203) 826-9262

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226448000000",
    "number": "1124272414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHESTNUT TREE HILL ROAD EXT",
            "city": "OXFORD",
            "state": "CT",
            "postal_code": "064781432",
            "telephone_number": "203-913-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OLD SHERMAN TPKE",
            "address_2": "SUITE 205",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104174",
            "telephone_number": "203-913-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "TRACY",
        "middle_name": "L.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.