Nieckarz, Tracey Diane
Nieckarz, Tracey Diane is an individual health care provider with primary practice located at 300 Wood Rd , Ballston Spa NY 12020-2246. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nieckarz, Tracey Diane can be contacted via phone (518) 884-7290.Contact Information
Primary practice address
300 Wood Rd
Ballston Spa NY 12020-2246
Phone: (518) 884-7290
Fax: (518) 884-7286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R055638 | New York |
Profile Details
| NPI number | 1336610120 |
|---|---|
| LBN Legal business name | Nieckarz, Tracey Diane |
| Credentials | LCSW-R |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2018 |
| Last updated | Dec 6th, 2018 - about 6 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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