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Traci Ann Lenzi

Social Worker

Behavioral Health & Social Service Providers

6401 Rosemount Dr NW, Gig Harbor, WA 98335-6628

PECOS Enrollment

This provider is enrolled in PECOS as TRACI LENZI.

Based on the most recent information from CMS, provider Traci Ann Lenzi is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 4:18 PM.

Profile Details

Provider ID
1710469929
Provider Type
Individual
Full Name
Lenzi, Traci Ann
Credential
LICSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/4/2018
Last Updated
9/4/2018

Contact Information

Practice Location

6401 Rosemount Dr NW, Gig Harbor, WA 98335-6628

(206) 730-2162

Unlisted Fax

Mailing Location

6401 Rosemount Dr NW, Gig Harbor, WA 98335-6628

(206) 730-2162

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LW60285908 Washington

Provider Identifiers

ID	Description	Issuer
ID NONE	Description Other	Issuer NONE Washington

Traci Ann Lenzi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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