Tracy Sebastian Evans, | |
416 Xenia Ave, Yellow Springs, OH 45387-1836 | |
(937) 767-9171 | |
(937) 767-9175 |
Full Name | Tracy Sebastian Evans |
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Gender | Female |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 416 Xenia Ave, Yellow Springs, Ohio |
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 |
---|---|---|---|
1326584038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | I.1800757 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Layh And Associates Inc | 0749266591 | 13 |
Entity Name | Mental Health Services For Clark Co Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982695706 PECOS PAC ID: 7810801032 Enrollment ID: O20040108000709 |
Entity Name | Layh & Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437176492 PECOS PAC ID: 0749266591 Enrollment ID: O20040624000882 |
Mailing Address | Practice Location Address |
---|---|
Tracy Sebastian Evans, 474 N Yellow Springs St, Springfield, OH 45504-2463 Ph: (937) 399-9500 | Tracy Sebastian Evans, 416 Xenia Ave, Yellow Springs, OH 45387-1836 Ph: (937) 767-9171 |
Amy Marie Selvage, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 360 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-767-1303 | |
Laura D. Taylor, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 360 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-767-1303 Fax: 937-767-1025 | |
Mrs. Anya Senetra, MSW, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 360 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-767-1303 Fax: 937-767-1025 | |
Jaime Hilling, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 360 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-767-1303 | |
Casey Aldrich, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 360 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-767-1303 Fax: 937-767-1025 | |
Chris Knotts, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 360 E Enon Rd, Yellow Springs, OH 45387 Phone: 937-767-1303 |