MISS TRACY MARIE LEWIS (NPI# 1093947657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093947657 |
| Entity Type | Individual |
| Full Name | MISS TRACY MARIE LEWIS |
| Other Name | MRS. TRACY MARIE ROBERTS |
| Credential | LCSW |
| Practice Address |
925 Sullivan Ave Unit 2 South Windsor CT 06074-2025 |
| Practice Telephone | 8604327771 |
| Practice Fax Number | 8604327774 |
| Mailing Telephone | 8604327771 |
| Mailing Fax Number | 8604327774 |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2015-07-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0006994 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008013935 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677422 | Tracy Flanagan Lewis | Social Worker | 410 E 48th St # 5, Minneapolis, MN 55419-5651 | 2020-10-22 |
| 1366983439 | Tracy Lewis | Dentist | 1211 Daisy Ct, Holly Ridge, NC 28445-7989 | 2017-03-09 |
| 1093169435 | Tracy Lee Lewis | Speech-Language Pathologist | 905 Milton Blvd., Newton Falls Schools, Newton Falls, OH 44444 | 2016-04-22 |
| 1245493287 | Tracy Ann Lewis | Licensed Practical Nurse | 1250 Old Oak Rd, Amherst, OH 44001-1225 | 2008-07-09 |
| 1588683833 | Tracy L. Lewis | Dentist | 89 Court St, Binghamton, NY 13901-3300 | 2006-07-18 |
| 1811547391 | Tracy Lewis | Counselor | 1822 Keeaumoku St, Honolulu, HI 96822-3001 | 2019-09-16 |
| 1194233114 | Tracy Lewis | Social Worker | 189 E Us Highway 40 Ste D, Troy, IL 62294-2267 | 2018-01-11 |
| 1790219541 | Tracy Lewis Lewis | Counselor | 5511 Se Hawthorne Blvd, Portland, OR 97215-3367 | 2017-04-19 |
| 1962890830 | Tracy Lynn Lewis | Registered Nurse | 907 West St, Laurel, DE 19956-1931 | 2014-12-31 |
| 1700296035 | Tracy Lewis | Counselor | 30 Elizabeth St, Derby, CT 06418-1869 | 2014-05-08 |
| Street Address |
925 SULLIVAN AVE UNIT 2 |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114924172 | Elizabeth Mb Visone | Nurse Practitioner | 925 Sullivan Ave, Suite 100, South Windsor, CT 06074-2025 | 2005-07-06 |
| 1184140394 | Marcy Calsetta | Nurse Practitioner | 925 Sullivan Ave, Ste 1, South Windsor, CT 06074-2080 | 2017-08-18 |
| 1902350382 | Kara Nelsen | Nurse Practitioner | 925 Sullivan Ave, Suite 1, South Windsor, CT 06074-2025 | 2016-08-15 |
| 1396193488 | Climb Innovations LLC | Family Medicine | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2016-05-30 |
| 1285011361 | Jeannie Dilworth, LLC | Nurse Practitioner | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2015-04-28 |
| 1134513062 | Art of Therapy, LLC. | Marriage & Family Therapist | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2015-03-28 |
| 1144614074 | Clearview Therapy, LLC. | Social Worker | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2015-03-28 |
| 1336385871 | Stacey Mae Hansen | Marriage & Family Therapist | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2009-01-06 |
| 1265487425 | Jeannie Dilworth | Nurse Practitioner | 925 Sullivan Ave, Unit 2, South Windsor, CT 06074-2025 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952872970 | Amy Destro, Lcsw, LLC | Social Worker | 435 Chapel Rd Ste E, South Windsor, CT 06074-4157 | 2018-12-17 |
| 1033610944 | Leah Bell Care Counseling LLC | Social Worker | 435 Buckland Rd Bldg B, South Windsor, CT 06074-3720 | 2018-02-26 |
| 1932609724 | Marie A.c. Cortez | Social Worker | 240 Orchard Hill Dr, South Windsor, CT 06074-3025 | 2018-02-18 |
| 1548770142 | Suzylynne Williams | Social Worker | 435 Buckland Rd Bldg Lower, South Windsor, CT 06074-3720 | 2017-10-09 |
| 1942654900 | Wendy K Goudreault | Social Worker | 1343 Sullivan Ave, South Windsor, CT 06074-2714 | 2016-04-15 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| 1780859074 | Nan Adrienne Lamm | Social Worker | 35 Mohegan Trl, South Windsor, CT 06074-3820 | 2008-04-28 |
| 1467586545 | Liane Lussier-smith | Social Worker | 475 Buckland Rd, South Windsor, CT 06074-3738 | 2007-03-14 |
| 1760006373 | Envision Therapies, LLC | Social Worker | 25 Oakland Rd, South Windsor, CT 06074-2897 | 2020-05-31 |
| 1679110787 | Christine Bartley | Social Worker | 2400 Tamarack Ave Ste 203, South Windsor, CT 06074-5559 | 2019-12-09 |
| Find all providers in SOUTH WINDSOR | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.