Ms Tracey S Madigan, LICSW | |
136b Prospect St, Brattleboro, VT 05301-6465 | |
(207) 560-6033 | |
Not Available |
Full Name | Ms Tracey S Madigan |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 136b Prospect St, Brattleboro, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376084921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC18451 (Maine) | Primary |
Entity Name | Crescent Psychotherapy |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845130 PECOS PAC ID: 0244641082 Enrollment ID: O20240122003903 |
Mailing Address | Practice Location Address |
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Ms Tracey S Madigan, LICSW Po Box 1691, Brattleboro, VT 05302-1691 Ph: (207) 560-6033 | Ms Tracey S Madigan, LICSW 136b Prospect St, Brattleboro, VT 05301-6465 Ph: (207) 560-6033 |
Margaret B Shelby, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15 Strand Ave, Brattleboro, VT 05301 Phone: 802-251-1057 Fax: 802-251-1058 | |
Ms. Ruth Catherine Kenrick, M.A., L.I. C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 608 Town Hill Rd, Brattleboro, VT 05301 Phone: 802-258-7621 | |
Melanie Rifkin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 189 Hillwinds N, Brattleboro, VT 05301 Phone: 215-880-4898 | |
Kurt White, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Anna Marsh Lane, Brattleboro, VT 05302 Phone: 802-257-7785 | |
Mrs. Caroline Lee Henderson, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Anna Marsh Lane, Brattleboro, VT 05302 Phone: 802-257-7785 | |
Susan J Shepherd, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 Whipple St, Brattleboro, VT 05301 Phone: 802-254-5497 | |
Ms. Megan Schwarz Hawthorne, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1037 Western Ave, Brattleboro, VT 05301 Phone: 802-254-3489 |