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Individual

CAROLYN ANN TRASKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
57 OLD JEWETT CITY RD, PRESTON, CT 06365-8010
(860) 887-7647
(860) 887-3104
Mailing address
57 OLD JEWETT CITY RD, PRESTON, CT 06365-8010
(860) 887-7647
(860) 887-3104

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC-3682
CT
1041C0700X
Clinical Social Worker
Primary
004350
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007721113
AETNA PROVIDER ID
CT
05
004254710
CT
01
140004350CT07
ANTHEM PROVIDER ID
CT
01
161622942
TAX IDENTIFICATION NUMBER
CT
01
191022
MHN PROVIDER ID
CT
01
2033944
CIGNA PROVIDER ID
CT
01
336119
VALUE OPTIONS PROVIDER ID
CT
01
706412000
MAGELLAN PROVIDER ID
CT
01
P3050702
OXFORD PROVIDER ID
CT
Enumeration date
12/28/2006
Last updated
12/16/2017
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