| Tracey Lee Minervino, LCSW | |
|
141 N Main St Ste 203, Brewer, ME 04412-2055 | |
| (207) 907-4343 | |
| (207) 907-4343 |
| Full Name | Tracey Lee Minervino |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 18 Years |
| Location | 141 N Main St Ste 203, Brewer, Maine |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912168790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC13255 (Maine) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sweetser | 8325946213 | 126 |
| Entity Name | Sweetser |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538122445 PECOS PAC ID: 8325946213 Enrollment ID: O20040311001107 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Lee Minervino, LCSW 141 N Main St Ste 203, Brewer, ME 04412-2055 Ph: (207) 907-4343 | Tracey Lee Minervino, LCSW 141 N Main St Ste 203, Brewer, ME 04412-2055 Ph: (207) 907-4343 |
Mr. Dustin Bernard Przybylski, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Union St, Brewer, ME 04412 Phone: 207-949-6646 | |
Vauna Haza, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Holyoke St, Brewer, ME 04412 Phone: 207-262-5059 | |
Jennifer Marie Holesha, LMSW-CC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 797 Wilson St, Brewer, ME 04412 Phone: 207-973-6494 | |
Brittany Barker, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 735 Wilson St, Brewer, ME 04412 Phone: 207-992-2205 | |
Laurie A Brophy, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 46 Betton St, Suite 205, Brewer, ME 04412 Phone: 207-356-4067 | |
Ms. Jennifer Lynn Moss, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 735 Wilson St, Brewer, ME 04412 Phone: 207-945-5247 Fax: 207-947-0435 | |
Julie Reva Kominsky, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 191 S Main St, Brewer, ME 04412 Phone: 207-745-1492 |