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Contact Information

TRACY PELLEGRINO, MSW
701 W 1ST STREET
SANFORD, FL32771
 Phone: 321-276-5076
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for TRACY PELLEGRINO · (Female)

NPI Number 1164883310
Status Active
Credentials MSW (Master of Science in Social Work)
Entity Individual
Enumeration date 03/16/2016
Last updated 06/02/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL Medicaid 016922900
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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