Individual
CAROLYN ANN TRASKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
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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