Theotokas, Tracie Michelle

Theotokas, Tracie Michelle is an individual health care provider with primary practice located at 318 Nielson St , Dix Hills NY 11746-7029. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Theotokas, Tracie Michelle can be contacted via phone (212) 681-0383.

Contact Information

Primary practice address
318 Nielson St Dix Hills NY 11746-7029
Phone: (212) 681-0383
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 074639-1 New York

Profile Details

NPI number 1477621704
LBN Legal business name Theotokas, Tracie Michelle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Sep 17th, 2021 - about 4 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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