Tracy Breen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

110405 Issued in MA

Practice address

3 Dundee Park Dr
Suite 203
Andover, MA 01810-3723

Phone

(978) 475-3590

Fax

(978) 475-7620

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• General Psychological Associates

  • Counseling Psychologist
  • Andover, MA
  • NPI 1700810025
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891801536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HERITAGE HILL RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871802",
            "telephone_number": "603-893-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DUNDEE PARK DR",
            "address_2": "SUITE 203",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018103723",
            "telephone_number": "978-475-3590",
            "fax_number": "978-475-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "TRACY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "110405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan P Bradley, PH.D.
• Andrea Bradstreet
• Melissa Braga, RN
• Karen Paola Bravo Sosa, CNP
• Constance K Breen, NP
• Kim Briggs, M.ED. CCC-SLP
• Krystal Brighton
• Broad Meadow Cooperative LLC
• Anthony C Broccoli, DMD
• Brittany Broderick, PSY.D.

• Clinical Social Worker in Andover, MA
• Providers in Andover, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.