Tracey L Watson, LCSW | |
423 Medical Park Dr Ste 400, Lenoir City, TN 37772-5641 | |
(865) 970-9800 | |
Not Available |
Full Name | Tracey L Watson |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 423 Medical Park Dr Ste 400, Lenoir City, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811635840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4118 (Tennessee) | Primary |
Entity Name | Parkwest Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396739165 PECOS PAC ID: 8527965417 Enrollment ID: O20040429000423 |
Mailing Address | Practice Location Address |
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Tracey L Watson, LCSW 423 Medical Park Dr Ste 400, Lenoir City, TN 37772-5641 Ph: (865) 970-9800 | Tracey L Watson, LCSW 423 Medical Park Dr Ste 400, Lenoir City, TN 37772-5641 Ph: (865) 970-9800 |
Erica K Burnette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1475 Simpson Rd W Ste 2, Lenoir City, TN 37771 Phone: 865-635-0242 Fax: 865-635-0244 | |
Kathleen Webster Erickson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Adessa Pkwy, Suite A-150, Lenoir City, TN 37771 Phone: 865-986-8082 Fax: 865-986-5890 | |
Richard Martin Fridrick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Adessa Pkwy, Suite A-150, Lenoir City, TN 37771 Phone: 865-986-8082 Fax: 865-986-5890 |