| Mrs Tracy Ellen Ambos, MSW, LCSW-C, LICSW | |
|
5100 Fetcher Avenue, Joint Base Andrews, MD 20762 | |
| (240) 612-7600 | |
| Not Available |
| Full Name | Mrs Tracy Ellen Ambos |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 5100 Fetcher Avenue, Joint Base Andrews, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487010971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC303237 (District Of Columbia) | Primary |
| Entity Name | Uplift Health Technologies Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770189243 PECOS PAC ID: 5092109918 Enrollment ID: O20220218000586 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Tracy Ellen Ambos, MSW, LCSW-C, LICSW 7124 Langley Ct, Hughesville, MD 20637-2714 Ph: (240) 577-5528 | Mrs Tracy Ellen Ambos, MSW, LCSW-C, LICSW 5100 Fetcher Avenue, Joint Base Andrews, MD 20762 Ph: (240) 612-7600 |
Dr. Christopher Matthew Scott, PH.D., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1060 West Perimeter Road, Joint Base Andrews, MD 20762 Phone: 240-857-7186 | |
Monica Lee Howard, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1060 W Perimeter Road, Joint Base Andrews, MD 20762 Phone: 240-857-7186 |