TRACY CLOUGH, LCSW, LLC
NPI 1992207690
Clinic/Center - Adult Mental Health in Shelton, CT

Active since March 08, 2018
515 BRIDGEPORT AVE, JOURNEY TO WELLNESS SUITE, SHELTON, CT 06484(203) 814-8113 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Mar 8, 2018 (2 updates tracked since 2018).

About Tracy Clough, Lcsw, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY CLOUGH, LCSW, LLC (NPI 1992207690) is a healthcare organization registered as an adult mental health in Shelton, Connecticut and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Guilford and lists Tracy Clough, Owner, as its authorized official.

NPPES Registry Identity

NPI1992207690
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameTRACY CLOUGH, LCSW, LLC
Location Address515 BRIDGEPORT AVE, JOURNEY TO WELLNESS SUITEShelton, CT 06484
Mailing Address298 Park LnTrumbull, CT 06611-2254 · (973) 809-4722
Organization SubpartNo
Authorized OfficialTracy CloughOwner · (973) 809-4722
Enumeration DateMarch 8, 2018
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1992207690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License Licensed in CT · 010006
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 010006 (CT)
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 010006 (CT)
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X · License 010006 (CT)
515 BRIDGEPORT AVE, Shelton, CT 06484

Secondary Practice Location 1

Location 125 Water StGuilford, CT 06437-2861 · Phone (203) 814-8113

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
515 BRIDGEPORT AVE
SHELTON, CT 06484

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Clough, Lcsw, LLC's NPI number?

The NPI number for Tracy Clough, Lcsw, LLC is 1992207690. It was assigned to this organization in the NPPES registry on March 8, 2018.

Where is Tracy Clough, Lcsw, LLC located?

Tracy Clough, Lcsw, LLC is located at 515 Bridgeport Ave Journey To Wellness Suite, Shelton, CT 06484. The listed phone number is (203) 814-8113.

What is Tracy Clough, Lcsw, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Tracy Clough, Lcsw, LLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.