Tracie Preli-derwin, Lcsw, Pllc - Medicare Mental Health Clinic in Southington, CT

Tracie Preli-derwin, Lcsw, Pllc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Southington, Connecticut. The current practice location for Tracie Preli-derwin, Lcsw, Pllc is 266 Meriden Ave, Southington, Connecticut. For appointments, you can reach them via phone at (860) 414-3200. The mailing address for Tracie Preli-derwin, Lcsw, Pllc is 125 Main Street Po Box 647, Southington, Connecticut and phone number is (860) 414-3200.

Tracie Preli-derwin, Lcsw, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124608054. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (860) 414-3200.

Contact Information

Tracie Preli-derwin, Lcsw, Pllc
266 Meriden Ave
Southington
CT 06489-3629
(860) 414-3200
(860) 414-3625

Mental Health Clinic Profile

Full NameTracie Preli-derwin, Lcsw, Pllc
SpecialitySocial Worker
Location266 Meriden Ave, Southington, Connecticut
Authorized Official Name and PositionTracie L Preli-derwin (OWNER)
Authorized Official Contact8604143200
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tracie Preli-derwin, Lcsw, Pllc
125 Main Street Po Box 647
Southington
CT 06489-9998

Ph: (860) 414-3200
Tracie Preli-derwin, Lcsw, Pllc
266 Meriden Ave
Southington
CT 06489-3629

Ph: (860) 414-3200

NPI Details:

NPI Number1124608054
Provider Enumeration Date04/13/2021
Last Update Date04/13/2021
Certification Date04/07/2021

Medicare PECOS Information:

Medicare PECOS PAC ID4688072200
Medicare Enrollment IDO20211013000712

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Medical Identifiers

Medical identifiers for Tracie Preli-derwin, Lcsw, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124608054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tracie Preli-derwin, Lcsw, Pllc acts as a billing entity for following providers:
Provider NameTracie Preli-derwin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497014344
PECOS PAC ID: 8426213000
Enrollment ID: I20120705000221

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Social Worker in Southington, CT

Thomas Finn, Ph.d., P.c.
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Practice Location: 51 N Main St, 2c, Southington, CT 06489
Phone: 860-628-6281    Fax: 860-628-0219
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