MEDICARE: TRACEY TINDALL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	S.1501185	OH

General Provider Information

NPI Number	:	1134615677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACEY TINDALL

Provider Business Mailing Address
First Line	:	6205 OTTER CREEK DR
Second Line	:
City	:	MIDDLETOWN
State	:	OH
Zip	:	45042-9304
Country	:	US
Telephone Number	:	513-292-5441
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 HANSBRINKER CT
Second Line	:
City	:	LIBERTY TOWNSHIP
State	:	OH
Zip	:	45044-9737
Country	:	US
Telephone Number	:	513-292-5441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2018
Last Update Date	:	07/09/2018

Similar Medicare Providers

1013415587 — WHITNEY RUBLE LSW
Practice Location Address:

7 HANSBRINKER CT
LIBERTY TOWNSHIP, OH
45044-9737

Practice Phone: 513-868-7700
Practice Fax:

1700442191 — JERALYN NICOLE GIFFEN MSW,LSW
Practice Location Address:

7 HANSBRINKER CT
LIBERTY TOWNSHIP, OH
45044-9737

Practice Phone: 765-580-1470
Practice Fax:

1225241599 — MRS. LISA L SHEHAN LSW
Practice Location Address:

470 TOWNSHIP ROAD 1101
NOVA, OH
44859-9737

Practice Phone: 419-652-2375
Practice Fax: 419-281-4605

1376866814 — MRS. KIMBERLY ANN PADEZANIN
Practice Location Address:

2000 MARKET PLACE BLVD
MOON TOWNSHIP, PA
15108-9737

Practice Phone: 412-859-0136
Practice Fax:

1144675489 — JENNIFER ANDERSON
Practice Location Address:

462 TOWNSHIP ROAD 1101
NOVA, OH
44859-9737

Practice Phone: 567-217-1980
Practice Fax:

1871578047 — DR. CHRISTINA MARIE EVERLY PHARM.D., R.PH.
Practice Location Address:

5011 PRINCETON RD
LIBERTY TWP, OH
45011-9737

Practice Phone: 513-737-1993
Practice Fax: 513-737-2884

Directions to “ TRACEY TINDALL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.