| Tracy L Kauffman, LCSW | |
|
920 W Executive Ct, Monticello, IN 47960-1961 | |
| (574) 583-9350 | |
| Not Available |
| Full Name | Tracy L Kauffman |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 920 W Executive Ct, Monticello, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740963800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 34010541A (Indiana) | Primary |
| Entity Name | Four County Comprehensive Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972545945 PECOS PAC ID: 2163334277 Enrollment ID: O20031105000480 |
| Entity Name | Valley Oaks Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689629990 PECOS PAC ID: 7315927563 Enrollment ID: O20040720001286 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy L Kauffman, LCSW 920 W Executive Ct, Monticello, IN 47960-1961 Ph: (574) 583-9350 | Tracy L Kauffman, LCSW 920 W Executive Ct, Monticello, IN 47960-1961 Ph: (574) 583-9350 |
Suzanne F Holmes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 920 Executive Dr, Monticello, IN 47960 Phone: 574-583-9350 | |
Loretta A Lewis, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 920 Executive Dr, Monticello, IN 47960 Phone: 574-583-7997 | |
Theodore Eckerle, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 920 West Executive Court, Monticello, IN 47960 Phone: 574-583-9350 Fax: 574-583-7997 | |
Elizabeth Mae Little, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 207 N Bluff St, Monticello, IN 47960 Phone: 574-583-9350 Fax: 574-583-7997 |