Mrs Tracy Lynn Koller, MSW, LCSW is a
Social Worker - Clinical based in Gillette, New Jersey. Mrs Tracy Lynn Koller is licensed to practice in New Jersey (license number 44SC05190500) and her current practice location is
21 Lacey Ave, Gillette, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(908) 331-3730.
NPI number for Mrs Tracy Lynn Koller is 1780849828 and her current mailing address is 21 Lacey Ave, Gillette, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780849828.
Healthcare Provider's Profile
| Full Name | Mrs Tracy Lynn Koller |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 21 Lacey Ave, Gillette, New Jersey |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780849828
- Provider Enumeration Date: 07/28/2008
- Last Update Date: 05/17/2023
Medical Identifiers
Medical identifiers for Mrs Tracy Lynn Koller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780849828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 44SC05190500 (New Jersey) | Primary |
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. Mrs Tracy Lynn Koller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Tracy Lynn Koller, MSW, LCSW 21 Lacey Ave, Gillette, NJ 07933-1406 Ph: (908) 331-3730 | Mrs Tracy Lynn Koller, MSW, LCSW 21 Lacey Ave, Gillette, NJ 07933-1406 Ph: (908) 331-3730 |
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