Tracey-Ann A George, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008255 Issued in CT

Practice address

20 N Main St
Norwalk, CT 06854-2656

Phone

(209) 838-6508

Fax

(203) 852-7021

NPI assigned

Jun 24, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Tracey-Ann A Baxter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1811208838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 5TH ST",
            "address_2": "2ND FLOOR",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066071083",
            "telephone_number": "203-909-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N MAIN ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542656",
            "telephone_number": "209-838-6508",
            "fax_number": "203-852-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "TRACEY-ANN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235918",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY-ANN",
            "last_name": "BAXTER",
            "middle_name": "A",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Geneus
• Lisa J Gengo, ND, PAC
• Elizabeth Gentile
• Gentle Rock Therapy LLC
• Virginia Anne Gentry, M.S, L.M.F.T.
• Georgina Home Care LLC
• Laura Geronemus, LCSW
• Richard T. Gervasi, M.D.
• Leah Giacomoni, BCBA
• Raman Gill-Meyer, M.D.

• Clinical Social Worker in Norwalk, CT
• Providers in Norwalk, 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 Jul 10, 2013; 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.