Tracy Clough, LCSW, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

010006 Issued in CT

Legal business name

TRACY CLOUGH, LCSW, LLC

Practice address

515 Bridgeport Ave
Journey to Wellness Suite
Shelton, CT 06484

Phone

(203) 814-8113

NPI assigned

Mar 8, 2018

Organization subpart

No

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

Authorized official

Name

Tracy Clough, LCSWNPI 1083122550

Title

Owner

Phone

(973) 809-4722

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy Clough, LCSW

  • Clinical Social Worker
  • Shelton, CT
  • NPI 1083122550
  NPD (past) Authorized official

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1992207690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 PARK LN",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066112254",
            "telephone_number": "973-809-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 BRIDGEPORT AVE",
            "address_2": "JOURNEY TO WELLNESS SUITE",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "06484",
            "telephone_number": "203-814-8113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Water St",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "CT",
            "postal_code": "064372861",
            "country_code": "US",
            "telephone_number": "203-814-8113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRACY CLOUGH, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "CLOUGH",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-809-4722",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "010006",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "010006",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "010006",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CT",
            "license": "010006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Thompson, PA-C
• Kathryn Nixon Thompson, PA
• Nickelle Threet
• Time to Thrive Counseling, LLC
• Patrick Toole
• Linda Trapkin, D.O.
• Danielle Triscari
• Mary Tuman, M.D.
• Alyssa G Twigg, LCSW, LADC
• Debra E Tyler, APRN

• Adult Mental Health Clinic/Center in Shelton, CT
• Providers in Shelton, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.