Arruda-Tracy, Stacey

Arruda-Tracy, Stacey is an individual health care provider with primary practice located at 249 Roosevelt Ave Suite 205, Pawtucket RI 02860-2134. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Arruda-Tracy, Stacey can be contacted via phone (401) 724-8400.

Contact Information

Primary practice address
249 Roosevelt Ave Suite 205 Pawtucket RI 02860-2134
Phone: (401) 724-8400
Fax: (401) 365-1100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW00871 Rhode Island
Behavioral Health & Social Service Providers / Clinical 1041C0700X ISW01891 Rhode Island

Profile Details

NPI number 1215074208
LBN Legal business name Arruda-Tracy, Stacey
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Apr 8th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215074208 NPPES
Rhode Island Other 30343 BLUE CROSS CRISIS
Rhode Island MEDICAID SA56205 BLUE CROSS CRISIS

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