Individual ProviderTracy BodineSocial WorkerBehavioral Health & Social Service ProvidersPractice Address110 Day Hill Rd, Windsor, CT 06095-1707(860) 925-6052PECOS EnrollmentBased on the most recent information from CMS, provider Tracy Bodine does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1881745206Provider TypeIndividualFull NameBodine, TracyCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date1/13/2007Last Updated10/27/2014Contact InformationPractice LocationPractice Address110 Day Hill Rd, Windsor, CT 06095-1707Phone(860) 925-6052Fax(860) 925-6054Mailing LocationMailing Address110 Day Hill Rd, Windsor, CT 06095-1707Phone(860) 925-6052Fax(860) 925-6054Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense001252Connecticut