NPIMap

Organization Active NPI

Tracey Cardello LCSW P.C.

Doing business as TLC Counseling & Wellness Studio

  • Clinical Social Worker
  • Garden City Park, NY
National Provider Identifier
1922526748
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
057203 Issued in NY
Legal business name
TRACEY CARDELLO LCSW P.C.
Doing business as
TLC Counseling & Wellness Studio
Practice address
47 Old Broadway
Garden City Park, NY 11040-5012
Phone
(516) 996-2145
NPI assigned
Aug 31, 2017
Last updated
Dec 18, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
TACEY CARDELLO LCSW P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Tracey Cardello, LCSW R.NPI 1114955416
Title
Owner/Director
Phone
(516) 996-2145

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 057203 NY Primary

Addresses

Primary practice location

47 Old Broadway
Garden City Park, NY 11040-5012

Mailing address

47 Old Broadway
Garden City Park, NY 11040
Phone (516) 933-4000

Other names 1

  • TLC Counseling & Wellness Studio Doing business as

National Provider Directory

National Provider Directory
Part of
Tracey Cardello LCSW PC

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1922526748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 OLD BROADWAY",
            "city": "GARDEN CITY PARK",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "516-933-4000",
            "fax_number": "516-933-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 OLD BROADWAY",
            "city": "GARDEN CITY PARK",
            "state": "NY",
            "postal_code": "110405012",
            "telephone_number": "516-996-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY CARDELLO LCSW P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TACEY CARDELLO LCSW P.C.",
        "enumeration_date": "2017-08-31",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "CARDELLO",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "516-996-2145",
        "authorized_official_credential": "LCSW R."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "057203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Counseling & Wellness Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden City Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.