Ms Tracy L Freeman, LCSW | |
5020 Vinesia Dr, Myrtle Beach, SC 29579-8035 | |
(860) 620-7197 | |
Not Available |
Full Name | Ms Tracy L Freeman |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5020 Vinesia Dr, Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073791281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 006440 (Connecticut) | Primary |
Entity Name | Talkspace Provider Network Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639814049 PECOS PAC ID: 5799136701 Enrollment ID: O20240411003944 |
Mailing Address | Practice Location Address |
---|---|
Ms Tracy L Freeman, LCSW 5020 Vinesia Dr, Myrtle Beach, SC 29579-8035 Ph: (860) 620-7197 | Ms Tracy L Freeman, LCSW 5020 Vinesia Dr, Myrtle Beach, SC 29579-8035 Ph: (860) 620-7197 |
Marcy Ann Cates, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1101 Johnson Ave Ste 204, Myrtle Beach, SC 29577 Phone: 843-477-0177 | |
Mr. Phillip Fleckenstein, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6215 Highway 707, Myrtle Beach, SC 29588 Phone: 843-273-0077 Fax: 843-273-0075 | |
Mr. Kenneth Thomas Cappuccio, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2195 Haystack Way, Myrtle Beach, SC 29579 Phone: 908-447-2913 | |
Mr. John Anthony Roman Ii, LISW-CP Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 917 Broadway St Ste 3, Myrtle Beach, SC 29577 Phone: 843-582-7887 Fax: 843-800-0061 | |
Lynn Ann Repasky, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Johnson Ave # 134d, Myrtle Beach, SC 29577 Phone: 843-232-2435 | |
David Thomas Lane, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1101 Johnson Ave, Myrtle Beach, SC 29577 Phone: 843-457-2122 |