Tracy Lew, | |
800 Cummings Ctr, Beverly, MA 01915-6175 | |
(978) 921-1190 | |
Not Available |
Full Name | Tracy Lew |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 800 Cummings Ctr, Beverly, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659720571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | LICSW122141 (Massachusetts) | Primary |
Entity Name | Family Counseling Associates Of Salem Andover Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013246602 PECOS PAC ID: 1052647963 Enrollment ID: O20190731000584 |
Entity Name | Optum Behavioral Care Of Connecticut Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831970904 PECOS PAC ID: 9436502879 Enrollment ID: O20240311000793 |
Mailing Address | Practice Location Address |
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Tracy Lew, 800 Cummings Ctr, Beverly, MA 01915-6175 Ph: (978) 921-1190 | Tracy Lew, 800 Cummings Ctr, Beverly, MA 01915-6175 Ph: (978) 921-1190 |
Miss Hannah Dawn Angel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Cummings Ctr, Suite 266t, Beverly, MA 01915 Phone: 978-921-1190 Fax: 978-927-3724 | |
Christine Caldarelli, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Cummings Ctr, Suite 266t, Beverly, MA 01915 Phone: 978-921-1190 Fax: 978-927-3724 | |
Mrs. Barrie L Gillman, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 260 Cabot St Ste 260r, Beverly, MA 01915 Phone: 617-549-6280 Fax: 781-202-9244 | |
Michael Robinson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Cummings Ctr, Suite 364u, Beverly, MA 01915 Phone: 978-998-3680 Fax: 978-922-0098 | |
Jamaica True Kelley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Cummings Ctr, Suite 266t, Beverly, MA 01915 Phone: 978-921-1190 | |
Diana Giglio, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Cummings Ctr Ste 266t, Beverly, MA 01915 Phone: 978-921-1190 | |
Mrs. Kristena Marijean O'hara, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 Cummings Ctr, Suite 266t, Beverly, MA 01915 Phone: 978-921-1190 Fax: 978-927-3724 |