Tracy L Williams, LISW-S | |
975 Kingsview Dr, Bldg A, Lebanon, OH 45036-9562 | |
(513) 228-7800 | |
(513) 228-7846 |
Full Name | Tracy L Williams |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 975 Kingsview Dr, Lebanon, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508318239 | NPI | - | NPPES |
0289271 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.2002224 (Ohio) | Primary |
104100000X | Social Worker | S-1600992 (Ohio) | Secondary |
Entity Name | Modern Psychiatry And Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225260888 PECOS PAC ID: 6608029962 Enrollment ID: O20130117000157 |
Mailing Address | Practice Location Address |
---|---|
Tracy L Williams, LISW-S 759 Columbus Ave, Lebanon, OH 45036-1754 Ph: (513) 520-7888 | Tracy L Williams, LISW-S 975 Kingsview Dr, Bldg A, Lebanon, OH 45036-9562 Ph: (513) 228-7800 |
Curtis Jerome Halsell, LSW, CCDCI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 212 Cook Rd, Lebanon, OH 45036 Phone: 513-695-1354 Fax: 513-695-1831 | |
Olivia Marie Himes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 975 Kingsview Dr, Lebanon, OH 45036 Phone: 513-228-7800 | |
Alyssa Brooke Miller, MSW, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 825 Hart Road, Lebanon, OH 45036 Phone: 513-934-5899 Fax: 513-934-2466 | |
Amber C Parker, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 975 Kingsview Dr, Bldg A, Lebanon, OH 45036 Phone: 513-228-7800 Fax: 513-228-7846 | |
Jeanette T Zohn, LSW, PN-MEDS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 975 Kingsview Dr, Lebanon, OH 45036 Phone: 513-228-7800 Fax: 513-228-7848 | |
Kendra Cozzens, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 975 Kingsview Dr, Lebanon, OH 45036 Phone: 513-228-7800 Fax: 513-228-7848 | |
Michelle L Swartz, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 Cook Rd, Lebanon, OH 45036 Phone: 513-695-1357 Fax: 513-695-2952 |