| Traci Gremillion, MSW, LCSW | |
|
10410 Plank Rd, Clinton, LA 70722-3710 | |
| (225) 683-5292 | |
| (225) 683-3411 |
| Full Name | Traci Gremillion |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 10410 Plank Rd, Clinton, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316341993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 105605 (Texas) | Secondary |
| 104100000X | Social Worker | 10388 (Louisiana) | Primary |
| Entity Name | Cmh Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Traci Gremillion, MSW, LCSW Po Box 395, Clinton, LA 70722-0395 Ph: (225) 683-5292 | Traci Gremillion, MSW, LCSW 10410 Plank Rd, Clinton, LA 70722-3710 Ph: (225) 683-5292 |
Shannon B Norris, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10410 Plank Rd, Clinton, LA 70722 Phone: 225-683-8877 Fax: 225-683-1349 | |
Sarah Burns Mccarley, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10410 Plank Rd, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-3411 | |
Kelli R Barbay, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-3411 | |
Miranda Smith, GSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 | |
Jessica Fae Golden-cooper, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-3411 | |
Kimberly J Covington-core, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-3411 | |
Rubby M Douglas, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-3411 |