Tracy Philesia Hollingsworth, LICSW
Social Worker, Clinical in Gardner, MA. Individual provider (NPI-1).
NPI number1417536665
StatusActive
Last updated in NPPESApr 5, 2021
Details
- NPI
- 1417536665
- Entity type
- Individual (NPI-1)
- Name
- Miss Tracy Philesia Hollingsworth
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2021
- Certification date
- Apr 5, 2021
- Last updated
- Apr 5, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 091116 | NY | Yes |
Other names
- Tracy Philesia Hollingsworth (Professional Name)
Practice location
65 Olde Colonial Dr Apt 2Gardner, MA 01440-4216
Phone 917-837-6797
Mailing address
65 Olde Colonial Dr Apt 2Gardner, MA 01440-4216
Phone 917-837-6797
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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