Tracey Lee Iserhott in Albany - Clinical
Tracey Lee Iserhott - NPI 1659369239
Tracey Lee Iserhott is a Clinical in Albany, Oregon. Tracey Lee Iserhott practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracey Lee Iserhott is 1659369239. The last update date is 2008-04-17.
Tracey Lee Iserhott's current location address is 645 Waverly Drive Se, Albany, Oregon. You can contact this provider via phone number 5415709234. The mailing address for Tracey Lee Iserhott is 645 Waverly Drive Se, Albany, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey Lee Iserhott |
|---|---|
| Address | 645 Waverly Drive Se, Albany, Oregon |
| Phone Number | 5415709234 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1659369239 |
|---|---|
| Provider Enumeration Date | 2005-10-08 |
| Last Updated Date | 2008-04-17 |
Provider Mailing Address Detail
| Address | 645 Waverly Drive Se |
|---|---|
| City | Albany |
| State | Oregon (OR) |
| Post Code | 97322 |
| Phone Number | 5415709234 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | L3247 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 277795 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tracey Lee Iserhott by the Centers for Medicare & Medicaid Services (CMS)?
The Tracey Lee Iserhott has been assigned the NPI (National Provider Identifier) 1659369239. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Tracey Lee Iserhott?
The Tracey Lee Iserhott is physically situated at 645 Waverly Drive Se, in the city of Albany, state of OR, with the postal code 97322.
What is Tracey Lee Iserhott's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracey Lee Iserhott'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 1659369239 to Tracey Lee Iserhott?
The Centers for Medicare & Medicaid Services originally issued the 1659369239 to Tracey Lee Iserhott on 2005-10-08.
When was the information pertaining to Tracey Lee Iserhott most recently updated or revised?
The details related to Tracey Lee Iserhott, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-17.