Individual provider · Type 1 NPI

Tracy L. Colucci

Clinical Social Worker · Rushville, NY

NPI number 1427333889 Active

Practice location

4120 Baldwin Rd
Rushville, NY 14544-9738

Mailing address

5138 Overlook Ln
Canandaigua, NY 14424-9109

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X073645-1 (NY)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1427333889

Tracy L. Colucci's National Provider Identifier is 1427333889, issued on Oct 18, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rushville, NY. The record was last updated on Oct 18, 2011.