Tracie Preli-Derwin, LCSW, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TRACIE PRELI-DERWIN, LCSW, PLLC

Practice address

266 Meriden Ave
Southington, CT 06489-3629

Phone

(860) 414-3200

Fax

(860) 414-3625

NPI assigned

Apr 13, 2021

Last updated

Apr 13, 2021By 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

Mrs. Tracie L Preli-Derwin, LCSWNPI 1497014344

Title

Owner

Phone

(860) 414-3200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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.

• Tracie Lynn Preli-Derwin

  • Clinical Social Worker
  • East Hartford, CT
  • NPI 1497014344
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1124608054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MAIN STREET PO BOX 647",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064899998",
            "telephone_number": "860-414-3200",
            "fax_number": "860-414-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 MERIDEN AVE",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893629",
            "telephone_number": "860-414-3200",
            "fax_number": "860-414-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACIE PRELI-DERWIN, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "PRELI-DERWIN",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-414-3200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Thompson
• Laura Thompson, A.P.R.N.
• Benjamin Timakov, PHARMD
• Todd a Perkins Aprn LLC
• Kimberly L Torres-Bacon, LMFT
• Tien Tran, RPH
• Trellis Counseling and Wellness LLC
• Nicholas Paul Peter Truncali, DPT
• Megan Elizabeth Turner, LCSW
• Turning Point Wellness, LLC

• Clinical Social Worker in Southington, CT
• Providers in Southington, 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 Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.