Tracy L Kauffman, LCSW | |
920 W Executive Ct, Monticello, IN 47960-1961 | |
(574) 583-9350 | |
Not Available |
Full Name | Tracy L Kauffman |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 920 W Executive Ct, Monticello, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740963800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34010541A (Indiana) | Primary |
Entity Name | Valley Oaks Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689629990 PECOS PAC ID: 7315927563 Enrollment ID: O20040720001286 |
Mailing Address | Practice Location Address |
---|---|
Tracy L Kauffman, LCSW 920 W Executive Ct, Monticello, IN 47960-1961 Ph: (574) 583-9350 | Tracy L Kauffman, LCSW 920 W Executive Ct, Monticello, IN 47960-1961 Ph: (574) 583-9350 |
Suzanne F Holmes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Executive Dr, Monticello, IN 47960 Phone: 574-583-9350 | |
Loretta A Lewis, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 920 Executive Dr, Monticello, IN 47960 Phone: 574-583-7997 | |
Theodore Eckerle, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 920 West Executive Court, Monticello, IN 47960 Phone: 574-583-9350 Fax: 574-583-7997 | |
Elizabeth Mae Little, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 N Bluff St, Monticello, IN 47960 Phone: 574-583-9350 Fax: 574-583-7997 |