Tracy Lynn Blunt is a Clinical in Fairfield, California. Tracy Lynn Blunt practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracy Lynn Blunt is 1235224247. The last update date is 2007-07-08.
Tracy Lynn Blunt's current location address is 1020 Missouri St, Fairfield, California. You can contact this provider via phone number 7074272646 and fax number 7074276630. The mailing address for Tracy Lynn Blunt is 1020 Missouri St, Fairfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy Lynn Blunt |
|---|---|
| Address | 1020 Missouri St, Fairfield, California |
| Phone Number | 7074272646 |
| Fax Number | 7074276630 |
| Sole Proprietor | Y |
| Credentials | M.S.W. |
NPI Number Detail
| NPI Number | 1235224247 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1020 Missouri St |
|---|---|
| City | Fairfield |
| State | California (CA) |
| Post Code | 945336112 |
| Phone Number | 7074272646 |
| Fax Number | 7074276630 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 19193 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique identifier code issued to Tracy Lynn Blunt by the Centers for Medicare & Medicaid Services (CMS)?
The Tracy Lynn Blunt has been assigned the NPI (National Provider Identifier) 1235224247. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Tracy Lynn Blunt's facilities are situated?
The facilities of Tracy Lynn Blunt are physically located at the following address: 1020 Missouri St, Fairfield, CA, 945336112.
What is Tracy Lynn Blunt's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracy Lynn Blunt's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235224247 to Tracy Lynn Blunt?
The Centers for Medicare & Medicaid Services originally issued the 1235224247 to Tracy Lynn Blunt on 2006-10-04.
As of what date were the details pertaining to Tracy Lynn Blunt last refreshed?
The information related to the Tracy Lynn Blunt, including its address, specialty, and other relevant details, was last updated on 2007-07-08.