Tracy Hart, LCSW Psychotherapy Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

005294 Issued in CT

Legal business name

TRACY HART, LCSW PSYCHOTHERAPY SERVICES LLC

Practice address

7 Old Sherman Tpke
Suite 107
Danbury, CT 06810-4174

Phone

(203) 913-0250

NPI assigned

Mar 27, 2009

Last updated

Mar 8, 2023By 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

Tracy Hart, LCSWNPI 1124272414

Title

Owner

Phone

(203) 913-0250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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.

• Tracy L. Hart, LCSW

  • Clinical Social Worker
  • Danbury, CT
  • NPI 1124272414
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1164664793",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OLD SHERMAN TPKE",
            "address_2": "SUITE 107",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104174",
            "telephone_number": "203-913-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY HART, LCSW PSYCHOTHERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-913-0250",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Danbury, CT
• Providers in Danbury, 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 Mar 8, 2023; 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.