National Provider Identifier
Tracie Michelle Theotokas, LCSW
Tracie Michelle Theotokas, LCSW is listed in the NPPES registry with a primary specialty of Social Worker in Dix Hills, NY and a listed phone number of (212) 681-0383.
Source: public NPPES record, last updated September 17, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1477621704
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- December 04, 2006
- Last Updated
- September 17, 2021
Practice Location
- 318 Nielson St
- Dix Hills, NY 11746-7029
Phone: (212) 681-0383
Specialties
- Social Worker (104100000X)
Browse Similar Providers
See more providers in the Social Worker classification in Huntington Station, NY.
Biography
Tracie Michelle Theotokas, LCSW, is a New York licensed clinical social worker based in Dix Hills. Her CMS provider record identifies her as an active social work provider in New York; stronger public sources for affiliations, faculty roles, research, or leadership history were not available.
Full Record
- NPI
- 1477621704
- Entity Type
- Individual
- Last Name
- Theotokas
- First Name
- Tracie
- Middle Name
- Michelle
- Name Prefix
- Mrs.
- Credential
- LCSW
- Mailing Street Address
- 318 Nielson St
- Mailing City
- Dix Hills
- Mailing State
- NY
- Mailing ZIP Code
- 11746-7029
- Mailing Country
- US
- Mailing Phone
- (212) 681-0383
- Practice Street Address
- 318 Nielson St
- Practice City
- Dix Hills
- Practice State
- NY
- Practice ZIP Code
- 11746-7029
- Practice Country
- US
- Practice Phone
- (212) 681-0383
- Enumeration Date
- December 04, 2006
- Last Updated
- September 17, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 19, 2021
- Taxonomies
- Social Worker (104100000X)