Tracy Jean Kohls, LSW is a
Social Worker based in Lorain, Ohio. Tracy Jean Kohls is licensed to practice in Ohio (license number S.2207704) and her current practice location is
2115 W Park Dr, Lorain, Ohio. She can be reached at her office (for appointments etc.) via phone at
(440) 989-4987.
NPI number for Tracy Jean Kohls is 1629584677 and her current mailing address is 2115 W Park Dr, Lorain, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629584677.
Healthcare Provider's Profile
| Full Name | Tracy Jean Kohls |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 2115 W Park Dr, Lorain, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629584677
- Provider Enumeration Date: 12/28/2017
- Last Update Date: 06/07/2022
Medical Identifiers
Medical identifiers for Tracy Jean Kohls such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629584677 | NPI | - | NPPES |
| 0277291 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.165548 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDCII.161576 (Ohio) | Secondary |
| 104100000X | Social Worker | S.2207704 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracy Jean Kohls is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tracy Jean Kohls, LSW
2115 W Park Dr,
Lorain, OH 44053-1138
Ph: (440) 989-4987 | Tracy Jean Kohls, LSW
2115 W Park Dr,
Lorain, OH 44053-1138
Ph: (440) 989-4987 |
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