| Tracey L Watson, LCSW | |
|
423 Medical Park Dr Ste 400, Lenoir City, TN 37772-5641 | |
| (865) 970-9800 | |
| Not Available |
| Full Name | Tracey L Watson |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 423 Medical Park Dr Ste 400, Lenoir City, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811635840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4118 (Tennessee) | Primary |
| Entity Name | Parkwest Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396739165 PECOS PAC ID: 8527965417 Enrollment ID: O20040429000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey L Watson, LCSW 423 Medical Park Dr Ste 400, Lenoir City, TN 37772-5641 Ph: (865) 970-9800 | Tracey L Watson, LCSW 423 Medical Park Dr Ste 400, Lenoir City, TN 37772-5641 Ph: (865) 970-9800 |
Erica K Burnette, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1475 Simpson Rd W Ste 2, Lenoir City, TN 37771 Phone: 865-635-0242 Fax: 865-635-0244 | |
Kathleen Webster Erickson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Adessa Pkwy, Suite A-150, Lenoir City, TN 37771 Phone: 865-986-8082 Fax: 865-986-5890 | |
Richard Martin Fridrick, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 Adessa Pkwy, Suite A-150, Lenoir City, TN 37771 Phone: 865-986-8082 Fax: 865-986-5890 | |
Vivol Elizabeth Catchot, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2299 Hall St, Lenoir City, TN 37772 Phone: 865-382-1557 |