| Kelsey Rae Traeger, MSW, LSW | |
|
9400 Lebanon Rd, East Saint Louis, IL 62203-2214 | |
| (618) 397-0968 | |
| Not Available |
| Full Name | Kelsey Rae Traeger |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 9400 Lebanon Rd, East Saint Louis, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548928120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 150.105371 (Illinois) | Primary |
| Entity Name | University Of Utah Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
| Entity Name | University Of Utah Pediatric Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelsey Rae Traeger, MSW, LSW 9400 Lebanon Rd, East Saint Louis, IL 62203-2214 Ph: (618) 397-0968 | Kelsey Rae Traeger, MSW, LSW 9400 Lebanon Rd, East Saint Louis, IL 62203-2214 Ph: (618) 397-0968 |
Mary Beth E Neufeld-wall, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 S 8th St, East Saint Louis, IL 62201 Phone: 618-482-7330 | |
Valda Haywood, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 713 Vogel Pl, East Saint Louis, IL 62205 Phone: 618-409-5884 Fax: 630-716-3430 | |
Mrs. Sarah A Kehl, MSW/LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 N Kingshighway, East Saint Louis, IL 62203 Phone: 618-394-2200 | |
Deborah Dyle, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 505 S 8th St, East Saint Louis, IL 62201 Phone: 618-482-7330 | |
Rita Lemons Byrd, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 505 S 8th St, East Saint Louis, IL 62201 Phone: 618-482-7330 Fax: 618-482-7639 | |
Tyler D Zipfel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1435 Market Ave, East Saint Louis, IL 62201 Phone: 618-875-9355 |