Miss Tracy Philesia Hollingsworth, LICSW in Gardner, MA

Miss Tracy Philesia Hollingsworth, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Gardner, Massachusetts. Her current practice location is 65 Olde Colonial Dr Apt 2, Gardner, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (917) 837-6797.

Miss Tracy Philesia Hollingsworth is licensed to practice in New York (license number 091116) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417536665.

Contact Information

	Miss Tracy Philesia Hollingsworth, LICSW
	65 Olde Colonial Dr Apt 2, Gardner, MA 01440-4216
	(917) 837-6797
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Tracy Philesia Hollingsworth
Gender	Female
Speciality	Social Worker - Clinical
Location	65 Olde Colonial Dr Apt 2, Gardner, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417536665
Provider Enumeration Date: 04/05/2021
Last Update Date: 04/05/2021

Medicare PECOS Information:

PECOS PAC ID: 6901208842
Enrollment ID: I20210714001880

Medical Identifiers

Medical identifiers for Miss Tracy Philesia Hollingsworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417536665	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	091116 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Tracy Philesia Hollingsworth allows following entities to bill medicare on her behalf.

Entity Name	Arck Nurse Practitioner In Psychiatry Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700464682 PECOS PAC ID: 7810399185 Enrollment ID: O20210708002079

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Tracy Philesia Hollingsworth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miss Tracy Philesia Hollingsworth, LICSW 65 Olde Colonial Dr Apt 2, Gardner, MA 01440-4216 Ph: (917) 837-6797	Miss Tracy Philesia Hollingsworth, LICSW 65 Olde Colonial Dr Apt 2, Gardner, MA 01440-4216 Ph: (917) 837-6797

Reviews and Comments

Social Worker in Gardner, MA

Ms. Nannette D Bradley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Lake St, Gardner, MA 01440 Phone: 508-849-5648
Ms. Jennifer L Laroche, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 55 Lake St, Gardner, MA 01440 Phone: 508-849-5648
Mrs. Rachel Lopez, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 20 Foster Ct, Gardner, MA 01440 Phone: 774-272-3287
Miss Victoria Abbie Valeri, M.S.W., L.I.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 235 Green St, Gardner, MA 01440 Phone: 978-630-6826
Miss Jill Kathleen Masure, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30 Crawford St, Gardner, MA 01440 Phone: 978-660-0996
Ms. Nancy Metra Brooks, L.I.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 116 Stone St, Gardner, MA 01440 Phone: 978-630-4775
Mrs. Valerie K Duggan, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 216 Mill St, Gardner, MA 01440 Phone: 978-632-3518 Fax: 978-630-3987

Miss Tracy Philesia Hollingsworth, LICSW - Medicare Clinical Social Worker in Gardner, MA