Tracie L Anderson, LCSW | |
510 Spring St, Jeffersonville, IN 47130-3554 | |
(812) 282-1888 | |
(812) 218-9318 |
Full Name | Tracie L Anderson |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 37 Years |
Location | 510 Spring St, Jeffersonville, Indiana |
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 |
---|---|---|---|
1407859465 | NPI | - | NPPES |
2767013000 | Other | KY | PASSPORT ADVANTAGE |
82900176 | Other | KY | MEDICAID KENTUCKY GROUP |
160780 | Other | IN | MEDICARE GROUP |
000000056294 | Other | ANTHEM GROUP | |
2444451000 | Other | KY | PASSPORT GROUP |
160860 | Other | IN | MEDICARE GROUP |
8200076100 | Medicaid | KY | |
000000226075 | Other | ANTHEM | |
264003000 | Other | BR BUTLER'S MIS | |
50704000 | Other | MAGELLAN GROUP MIS | |
CG3623 | Other | IN | INDIANA RAILROAD MEDICARE |
100386460 | Other | IN | INDIANA MEDICAID GROUP |
1518960681 | Other | DR BUTLER'S NPI | |
800012510 | Other | IN | MEDICARE RAILROAD |
78903689 | Other | KY | MEDICAID KENTUCKY GROUP |
94882000 | Other | MAGELLAN MIS | |
200319860A | Medicaid | IN | |
65927857 | Other | KY | MEDICAID KENTUCKY GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34000315A (Indiana) | Primary |
1041C0700X | Social Worker - Clinical | 807 (Kentucky) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Substance Abuse Solutions Llc | 8123440401 | 10 |
Lake Substance Abuse Solutions Llc | 8123440401 | 10 |
Entity Name | Lake Substance Abuse Solutions Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124598669 PECOS PAC ID: 8123440401 Enrollment ID: O20200615000339 |
Mailing Address | Practice Location Address |
---|---|
Tracie L Anderson, LCSW 510 Spring St, Jeffersonville, IN 47130-3554 Ph: (812) 282-1888 | Tracie L Anderson, LCSW 510 Spring St, Jeffersonville, IN 47130-3554 Ph: (812) 282-1888 |
Cha'reme Campbell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 590 Missouri Ave Ste 206d, Jeffersonville, IN 47130 Phone: 502-242-8343 | |
S Delight Voignier, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 460 Spring St, Jeffersonville, IN 47130 Phone: 812-280-2080 | |
Teresa Brady, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 460 Spring St, Jeffersonville, IN 47130 Phone: 812-280-2080 Fax: 812-206-1213 | |
Sarah Ruth Ash, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2420 E 10th St, Jeffersonville, IN 47130 Phone: 812-282-8248 | |
Jennifer Grable, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 460 Spring St, Jeffersonville, IN 47130 Phone: 812-280-2080 | |
Mrs. Michelle Selby Frossard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2420 E 10th St, Jeffersonville, IN 47130 Phone: 812-282-3291 | |
Jayme Battaglia-jennings, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1713 E 10th St, Jeffersonville, IN 47130 Phone: 812-258-0310 |