Miss Tracy Tredennick, LCSW | |
865 Eisenhower Blvd., Johnstown, PA 15904-3327 | |
(814) 266-8840 | |
(814) 266-2176 |
Full Name | Miss Tracy Tredennick |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 19 Years |
Location | 865 Eisenhower Blvd., Johnstown, Pennsylvania |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316116767 | NPI | - | NPPES |
1007708200003 | Medicaid | PA | |
1025856980001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW015802 (Pennsylvania) | Primary |
208000000X | Pediatrics | CW105802 (Pennsylvania) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pediatric Care Specialists | 9537333604 | 6 |
Entity Name | Pediatric Care Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346236833 PECOS PAC ID: 9537333604 Enrollment ID: O20111130000082 |
Mailing Address | Practice Location Address |
---|---|
Miss Tracy Tredennick, LCSW 1322 Eisenhower Blvd., Johnstown, PA 15904-3307 Ph: (814) 266-8840 | Miss Tracy Tredennick, LCSW 865 Eisenhower Blvd., Johnstown, PA 15904-3327 Ph: (814) 266-8840 |
Shannon Berkey, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 865 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-266-8840 Fax: 814-266-4922 | |
Jodi Hockenberry, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 865 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-266-8840 Fax: 814-266-4922 | |
Ms. Alane J Knapp, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 320 Main St, 2nd Fl, Johnstown, PA 15901 Phone: 814-534-6163 Fax: 814-534-6145 | |
Mrs. Carlene Dawn Gibson, MSW, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 307 Market Street, Family Therapy Services, Johnstown, PA 15901 Phone: 814-254-4351 | |
Mark B Harshberger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 214 College Park Plaza, Johnstown, PA 15904 Phone: 814-262-0025 Fax: 814-266-8745 | |
Ms. Athena Gavaris, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 320 Main Street, 2nd Floor, Johnstown, PA 15901 Phone: 814-534-1095 Fax: 914-534-6145 | |
Debra Phillips, CW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 865 Eisenhower Blvd, Johnstown, PA 15904 Phone: 814-266-8840 Fax: 814-266-2176 |