Jeanglee Tracer, | |
1905 Bridgeport Way W Ste 200, University Place, WA 98466-4846 | |
(253) 565-1400 | |
(253) 565-1710 |
Full Name | Jeanglee Tracer |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1905 Bridgeport Way W Ste 200, University Place, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386050581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LW00007398 (Washington) | Primary |
Entity Name | Mindful Therapy Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
Mailing Address | Practice Location Address |
---|---|
Jeanglee Tracer, 1905 Bridgeport Way W Ste 200, University Place, WA 98466-4846 Ph: (253) 565-1400 | Jeanglee Tracer, 1905 Bridgeport Way W Ste 200, University Place, WA 98466-4846 Ph: (253) 565-1400 |
Jamie Brubaker Mcconnell, MHP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4215 Olympic Blvd W, University Place, WA 98466 Phone: 206-979-4421 | |
Kevin Darrow Brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4113 Bridgeport Way W Ste C1, University Place, WA 98466 Phone: 443-842-5661 Fax: 844-364-6544 | |
Kirsten Nance, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8312 27th St W Apt 5, University Place, WA 98466 Phone: 253-209-8094 | |
Alaina Ewing, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4702 89th Ave W, University Place, WA 98466 Phone: 206-859-7345 | |
Kortnie Williams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7313 35th Street Ct W Apt 5, University Place, WA 98466 Phone: 718-678-0383 | |
Shannon Ryan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2901 Bridgeport Way W, University Place, WA 98466 Phone: 253-534-7623 Fax: 253-534-7610 | |
Mallory Mackie, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2701 Sylvan Dr W, University Place, WA 98466 Phone: 253-241-2287 |