Tracy Durkin, LCSW Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

44SC01169800 Issued in NJ

Legal business name

TRACY DURKIN, LCSW INC.

Doing business as

Tracy Durkin, LCSW

Practice address

628 Shrewsbury Ave
Tinton Falls, NJ 07701-4932

Phone

(732) 758-0550

Fax

(732) 758-0280

NPI assigned

Mar 23, 2018

Organization subpart

No

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

Authorized official

Name

Tracy Durkin, LCSW

Title

Owner

Phone

(732) 758-0550

Specialties & licenses 1

Addresses

Other names 1

• Tracy Durkin, LCSW Doing business as

Locations

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1568966430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 SHREWSBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014932",
            "telephone_number": "732-758-0550",
            "fax_number": "732-758-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 SHREWSBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014932",
            "telephone_number": "732-758-0550",
            "fax_number": "732-758-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY DURKIN, LCSW INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "DURKIN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-758-0550",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "44SC01169800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tracy Durkin, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tinton Falls School District
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• Lynda Tortoriello, DVM
• Alexis Marie Totten, DNP
• Ivone Treacy, CMT
• Laurren Michele Trio, M.S., CCC-SLP
• Trucare Counseling Services LLC
• Truevista Medcal LLC
• Peace Tsaku

• Community/Behavioral Health Agency in Tinton Falls, NJ
• Providers in Tinton Falls, NJ by specialty
• Community/Behavioral Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.