Tarascio, Kelly

Tarascio, Kelly is an individual health care provider with primary practice located at 900 Straits Tpke Ste 203A , Middlebury CT 06762-2800. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tarascio, Kelly can be contacted via phone (203) 819-0789.

Contact Information

Primary practice address
900 Straits Tpke Ste 203A Middlebury CT 06762-2800
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 5011 Connecticut
Behavioral Health & Social Service Providers / School 1041S0200X 7102946311 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 12267 Connecticut

Profile Details

NPI number 1174112262
LBN Legal business name Tarascio, Kelly
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2021
Last updated Jan 12th, 2023 - about 2 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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