Little, Tracey D

Little, Tracey D is an sole proprietor health care provider with primary practice located at 11835 Queens Blvd Ste 400, Forest Hills NY 11375-7200. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Little, Tracey D can be contacted via phone (718) 926-5462.

Contact Information

Primary practice address
11835 Queens Blvd Ste 400 Forest Hills NY 11375-7200
Phone: (718) 926-5462
Fax: (718) 464-1558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 17106 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 083223-1 New York

Profile Details

NPI number 1558646448
LBN Legal business name Little, Tracey D
Credentials LCSW, CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2011
Last updated Aug 18th, 2015 - about 9 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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