Healthcare Provider Details

I. General information

NPI: 1467021329
Provider Name (Legal Business Name): BRITTANY S TRACZ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2021
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 W BIG BEAVER RD
TROY MI
48084-3510
US

IV. Provider business mailing address

1719 W BIG BEAVER RD
TROY MI
48084-3510
US

V. Phone/Fax

Practice location:
  • Phone: 586-846-4835
  • Fax: 586-408-6485
Mailing address:
  • Phone: 586-846-4835
  • Fax: 586-408-6485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801109037
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: