National Provider Identifier

Tracey Irene Carr

Tracey Irene Carr is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (607) 737-2490.

NPI 1265280713Elmira, NYClinical Social Worker

Profile Overview

NPI
1265280713
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
May 09, 2024
Last Updated
May 13, 2024

Practice Location

  • 310 Pennsylvania Ave
  • Elmira, NY 14904-1458

Phone: (607) 737-2490

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1265280713
Entity Type
Individual
Last Name
Carr
First Name
Tracey
Middle Name
Irene
Mailing Street Address
310 Pennsylvania Ave
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14904-1458
Mailing Country
US
Mailing Phone
(607) 737-2490
Practice Street Address
310 Pennsylvania Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14904-1458
Practice Country
US
Practice Phone
(607) 737-2490
Enumeration Date
May 09, 2024
Last Updated
May 13, 2024
Sex
Female
Sole Proprietor
No
Certification Date
May 13, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)