Provider Demographics
NPI:1821728452
Name:TRAU, DAVID (LMSW)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:TRAU
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 MONROE TPKE UNIT 9
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-2354
Mailing Address - Country:US
Mailing Address - Phone:203-678-8433
Mailing Address - Fax:
Practice Address - Street 1:500 MONROE TPKE UNIT 9
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-2354
Practice Address - Country:US
Practice Address - Phone:203-678-8433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTMSW.005549104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty