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
Phone: (203) 819-0789
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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