| Tracy Jewell Elam, LCSW | |
|
905 Main St, West Liberty, KY 41472-1023 | |
| (606) 743-4808 | |
| (606) 743-4716 |
| Full Name | Tracy Jewell Elam |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 905 Main St, West Liberty, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699957704 | NPI | - | NPPES |
| 252244 | Other | KY | LCSW LICENSURE |
| 7100499630 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 252244 (Kentucky) | Primary |
| Entity Name | Centerwell Senior Primary Care Ky Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376282038 PECOS PAC ID: 8022492024 Enrollment ID: O20220824003346 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Jewell Elam, LCSW Po Box 690, Beattyville, KY 41311-0690 Ph: (606) 464-0151 | Tracy Jewell Elam, LCSW 905 Main St, West Liberty, KY 41472-1023 Ph: (606) 743-4808 |
Shanley Mccarty, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 767 Main St, West Liberty, KY 41472 Phone: 606-329-8588 | |
Mrs. Jimalee Yvonne Ross, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 Main St, West Liberty, KY 41472 Phone: 606-725-5650 | |
Dena Michelle Garrett, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 767 Main St, West Liberty, KY 41472 Phone: 606-329-8588 |