Tracy Santos Morales, LCSW
Individual provider Active NPI Clinical Social Worker · Portland, CT
NPI 1699197277 · NPPES record last updated Apr 22, 2015
Key facts
- NPI
- 1699197277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 007711 (CT)
- Practice address
- 1 Dogwood Dr
Portland, CT 06480-1503 - Phone
- (860) 377-5358
- NPI assigned
- Jan 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
33 Pratt St
Glastonbury, CT 06033-1014
Phone (860) 946-0447
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151216001411 | CT | Practitioner - Clinical Social Worker | 5496056475 | Practice locations: Glastonbury, CT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007711 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tracy S Morales, LCSW | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 007711 | CT | Yes |
Addresses
Primary practice location
1 Dogwood Dr
Portland, CT 06480-1503
Mailing address
1 Dogwood Dr
Portland, CT 06480-1503
Phone (860) 377-5358
Other providers in Portland, CT
- Timothy Malton
- Micaela Mellow
- MHS Primary Care
- Middlesex Hospital Dba Family Practice Group Portland
- Jaime Morales
- Kristen Coffey Moran-Dillon
- John Louis Mormile
- Richard Brian Morse
- Kelly Marie Mullen
- Louis R Neumann
All providers in Portland, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.