Healthcare Provider Details

I. General information

NPI: 1720942410
Provider Name (Legal Business Name): TRACY PERACHI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CUMMINGS CTR STE 5150
BEVERLY MA
01915-6523
US

IV. Provider business mailing address

500 CUMMINGS CTR STE 5150
BEVERLY MA
01915-6523
US

V. Phone/Fax

Practice location:
  • Phone: 978-825-3902
  • Fax:
Mailing address:
  • Phone: 978-825-3902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number225839
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: