Tracy L Anderson is a Clinical in Escanaba, Michigan. Tracy L Anderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracy L Anderson is 1104022029. The last update date is 2007-07-08.
Tracy L Anderson's current location address is 1100 Ludington St Ste 401, Escanaba, Michigan. You can contact this provider via phone number 9067891596 and fax number 9067892024. The mailing address for Tracy L Anderson is 1100 Ludington St Ste 401, Escanaba, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracy L Anderson |
|---|---|
| Address | 1100 Ludington St Ste 401, Escanaba, Michigan |
| Phone Number | 9067891596 |
| Fax Number | 9067892024 |
| Sole Proprietor | N |
| Credentials | LPC |
NPI Number Detail
| NPI Number | 1104022029 |
|---|---|
| Provider Enumeration Date | 2007-06-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1100 Ludington St Ste 401 |
|---|---|
| City | Escanaba |
| State | Michigan (MI) |
| Post Code | 498293545 |
| Phone Number | 9067891596 |
| Fax Number | 9067892024 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 6401010067 |
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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 provider identifier assigned to Tracy L Anderson?
The Tracy L Anderson has been issued the NPI (National Provider Identifier) 1104022029 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Tracy L Anderson is geographically located?
The Tracy L Anderson is physically situated at the following location: 1100 Ludington St Ste 401, Escanaba, MI, 498293545.
What is the Tracy L Anderson's area of specialization and corresponding taxonomy classification?
The Tracy L Anderson's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1104022029 to Tracy L Anderson?
The Tracy L Anderson received its 1104022029 assignment from the Centers for Medicare & Medicaid Services on 2007-06-26.
When was the Tracy L Anderson's information last updated?
The Tracy L Anderson's information was last updated on 2007-07-08.