Tracey Coulon, LICSW | |
445 Cypress St, Manchester, NH 03103-3600 | |
(603) 668-4079 | |
Not Available |
Full Name | Tracey Coulon |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 22 Years |
Location | 445 Cypress St, Manchester, New Hampshire |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427171842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1301 (New Hampshire) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Enso Counseling Group Pllc | 1759795321 | 3 |
Entity Name | Counseling Associates Of Ma & Nh, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891710042 PECOS PAC ID: 2668771700 Enrollment ID: O20190410002832 |
Entity Name | Enso Counseling Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598360752 PECOS PAC ID: 1759795321 Enrollment ID: O20210122002352 |
Mailing Address | Practice Location Address |
---|---|
Tracey Coulon, LICSW 445 Cypress St, Manchester, NH 03103-3600 Ph: (603) 668-4079 | Tracey Coulon, LICSW 445 Cypress St, Manchester, NH 03103-3600 Ph: (603) 668-4079 |
Dominique M Whiton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Wall St Ste 400, Manchester, NH 03101 Phone: 603-668-4111 | |
Mr. Samuel Sobel, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1555 Elm St, Manchester, NH 03101 Phone: 603-668-4111 Fax: 603-628-7757 | |
Ms. Barbara Ellen Pines-brown, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 718 Smyth Rd, Manchester, NH 03104 Phone: 603-624-4366 | |
Danielle M Panciocco, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1555 Elm St, Manchester, NH 03101 Phone: 603-668-4111 Fax: 603-628-7757 | |
Melissa K Bascom, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 Phone: 603-663-2739 Fax: 603-663-2664 | |
Rebecca Taggart Melia, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2013 Elm St, Manchester, NH 03104 Phone: 603-627-2702 Fax: 603-627-3643 | |
Amy Mcnally, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 Wall St Ste 400, Manchester, NH 03101 Phone: 603-668-4111 |