Kelsey Rae Traeger, MSW, LSW | |
9400 Lebanon Rd, East Saint Louis, IL 62203-2214 | |
(618) 397-0968 | |
Not Available |
Full Name | Kelsey Rae Traeger |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 9400 Lebanon Rd, East Saint Louis, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548928120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 150.105371 (Illinois) | Primary |
Entity Name | University Of Utah Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
Entity Name | University Of Utah Pediatric Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309 |
Mailing Address | Practice Location Address |
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Kelsey Rae Traeger, MSW, LSW 9400 Lebanon Rd, East Saint Louis, IL 62203-2214 Ph: (618) 397-0968 | Kelsey Rae Traeger, MSW, LSW 9400 Lebanon Rd, East Saint Louis, IL 62203-2214 Ph: (618) 397-0968 |
Mary Beth E Neufeld-wall, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 505 S 8th St, East Saint Louis, IL 62201 Phone: 618-482-7330 | |
Valda Haywood, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 713 Vogel Pl, East Saint Louis, IL 62205 Phone: 618-409-5884 Fax: 630-716-3430 | |
Deborah Dyle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 S 8th St, East Saint Louis, IL 62201 Phone: 618-482-7330 | |
Rita Lemons Byrd, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 505 S 8th St, East Saint Louis, IL 62201 Phone: 618-482-7330 Fax: 618-482-7639 | |
Tyler D Zipfel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1435 Market Ave, East Saint Louis, IL 62201 Phone: 618-875-9355 | |
Mrs. Sandra M Collier, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 505 S 8th St, East Saint Louis, IL 62201 Phone: 618-482-7330 Fax: 618-482-7639 |