Provider Demographics
NPI:1588173207
Name:WASHINGTON, TRACY MARIE (MSW, CAADC)
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:MARIE
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:MSW, CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 COUNCIL CIR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-4166
Mailing Address - Country:US
Mailing Address - Phone:302-983-6737
Mailing Address - Fax:
Practice Address - Street 1:221 PHILADELPHIA PIKE
Practice Address - Street 2:SUITE 4
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19809
Practice Address - Country:US
Practice Address - Phone:302-983-6737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-26
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker