Provider Demographics
NPI:1649597956
Name:CHIARI, TRACY LYNN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TRACY
Middle Name:LYNN
Last Name:CHIARI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:TRACY
Other - Middle Name:LYNN
Other - Last Name:FALWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:7675 AMESWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3301
Mailing Address - Country:US
Mailing Address - Phone:713-851-0959
Mailing Address - Fax:
Practice Address - Street 1:6823 CYPRESSWOOD DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7705
Practice Address - Country:US
Practice Address - Phone:281-376-8006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX308451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical