JOHN JOSEPH TRACEY (NPI# 1386679223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386679223 |
| Entity Type | Individual |
| Full Name | JOHN JOSEPH TRACEY |
| Credential | MSW |
| Practice Address |
202 Pomfret St Putnam CT 06260-1833 |
| Mailing Address |
40 Mansfield Ave Willimantic CT 06226-2018 |
| Practice Telephone | 8609637917 |
| Practice Fax Number | 8609630018 |
| Mailing Telephone | 8604507471 |
| Mailing Fax Number | 8609630015 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2015-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
5818 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003383811 | John Patrick Tracey | Physical Therapist | 1648 Huntingdon Pike, Meadowbrook, PA 19046-8001 | 2018-10-30 |
| Street Address |
202 POMFRET ST |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710957519 | Joe Moreno | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2006-01-24 |
| 1295290245 | Stephanie Lynn | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2019-02-04 |
| 1629552211 | Terry Ann Holybee | Nurse Practitioner | 202 Pomfret St, Putnam, CT 06260-1833 | 2018-09-19 |
| 1891208039 | Willa M Thompson | Nurse Practitioner | 202 Pomfret St, Putnam, CT 06260-1833 | 2017-11-09 |
| 1609394584 | Cristine Donaruma | Registered Nurse | 202 Pomfret St, Putnam, CT 06260 | 2017-08-31 |
| 1124566021 | Shilpa Kapoor | Dentist | 202 Pomfret St, Putnam, CT 06260-1833 | 2017-02-10 |
| 1730636408 | Carina Holmgren | Nurse Practitioner | 202 Pomfret St, Putnam, CT 06260-1833 | 2016-09-09 |
| 1609240787 | Emma E Miller | Counselor | 202 Pomfret St, Putnam, CT 06260 | 2015-11-30 |
| 1093190241 | Brittany Davis | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2015-07-29 |
| 1730583477 | Ashley Lewis | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2014-10-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
| 1902450448 | Jillian Bellman | Registered Nurse | 391 Pomfret Street, Putnam, CT 06260 | 2019-08-01 |
| 1285297390 | Jourhana Colon | Behavior Technician | 62 Providence Pike Ste E, Putnam, CT 06260 | 2019-04-16 |
| 1457839417 | Amplisound, Inc. | Hearing Instrument Specialist | 19 Quinebaug Avenue, Putnam, CT 06260 | 2018-08-01 |
| 1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
| 1558619957 | Merinessa Macayaon Quintilla | Physical Therapist | 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 | 2012-08-16 |
| 1235496936 | Mohsin Haseeb | Internal Medicine | Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 | 2012-04-18 |
| 1588932529 | Lifehouse Community Care, LLC | Home Health | 554 Liberty Highway Unit 2, Putnam, CT 06260 | 2011-12-05 |
| 1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
| Find all providers in zip 06260 | ||||
| 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 |
|---|---|---|---|---|
| 1619399672 | Gina M. Mills, Lcsw, LLC | Social Worker | 96 Front St # B, Putnam, CT 06260-1643 | 2014-01-10 |
| 1174695811 | Meghann Louise Whittemore | Social Worker | 225 Providence Pike, Putnam, CT 06260-2526 | 2006-11-15 |
| 1013009869 | Camille Benjamin | Social Worker | 32 Letters St, Putnam, CT 06260-2016 | 2006-09-29 |
| 1841396249 | Daryn Scott Tenenbaum | Social Worker | 107 Providence St, Putnam, CT 06260 | 2006-09-15 |
| 1992807457 | Vincent John Edwards | Social Worker | 36 Church St, Putnam, CT 06260-1866 | 2006-09-03 |
| 1356375828 | Susan Marie Frechette | Social Worker | 96 Front St Ste B, Putnam, CT 06260-1643 | 2006-07-10 |
| 1134616279 | Reflective Counseling, LLC | Social Worker | 225 Providence Pike, Putnam, CT 06260-2526 | 2018-04-14 |
| 1174051882 | Tranquil Energy, LLC | Social Worker | 225 Providence Pike, Putnam, CT 06260-2526 | 2017-05-24 |
| 1871020321 | Sequis LLC | Social Worker | 225 Providence Pike, Putnam, CT 06260-2526 | 2017-05-15 |
| 1194251231 | Ct Therapy Works LLC | Social Worker | 36 Church St, B, Putnam, CT 06260-1866 | 2017-05-11 |
| Find all providers in PUTNAM | ||||
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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.