Provider Demographics
NPI:1023610490
Name:SINGER, TRACEY KIM (LCSW)
Entity type:Individual
Prefix:
First Name:TRACEY
Middle Name:KIM
Last Name:SINGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16801 E WYOMING CIR APT 202
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-4836
Mailing Address - Country:US
Mailing Address - Phone:970-279-1235
Mailing Address - Fax:
Practice Address - Street 1:16801 E WYOMING CIR APT 202
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-4836
Practice Address - Country:US
Practice Address - Phone:970-279-1235
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099269891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical