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General NPI Number Information
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NPI Number | 1720283005
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Entity Type | Individual
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Provider Name | TRACIE KRITCH LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 339 SQUANKUM YELLOWBROOK RD
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City | FARMINGDALE
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State | NJ
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Zip | 07727-3741
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Country | US
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Telephone | 732-938-3124
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Fax | 732-212-2890
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Provider Business Mailing Address
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Address Line | 270 STATE ROUTE 35
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City | RED BANK
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State | NJ
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Zip | 07701-5920
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Country | US
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Telephone | 732-842-2000
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Fax | 732-212-2890
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05399800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C018555
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17449
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License Number State | SC
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