Doctor Name: | MRS. TRACEY MORRIS PRISCO |
NPI Number: | 1013164078 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 072835 |
Business Practice Address: | 149 Halstead Ave Harrison, NY - 105284137 |
Business Phone Number: | 9148351804 |
Business Fax Number: | |
Mailing Address: | 149 Halstead Ave, HARRISON |
State: | NY |
Postal Code: | 105284137 |
Phone Number: | 9148351804 |
Fax Number: | |
NPI Enumeration Date: | 08/21/2008 |
NPI Last Update Date: | 08/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 072835 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |