Traci Ludtke in Wichita Falls - Clinical

Traci Ludtke - NPI 1730291055

Traci Ludtke is a Clinical in Wichita Falls, Texas. Traci Ludtke practices all healthcare services and medical treatments related to Clinical. The NPI Number for Traci Ludtke is 1730291055. The last update date is 2007-07-27.

Traci Ludtke's current location address is 1005 Midwestern Pkwy, Wichita Falls, Texas. You can contact this provider via phone number 9403220771 and fax number 9407664942. The mailing address for Traci Ludtke is 1005 Midwestern Pkwy, Wichita Falls, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Traci Ludtke
Address 1005 Midwestern Pkwy, Wichita Falls, Texas
Phone Number 9403220771
Fax Number 9407664942
Sole Proprietor N
Credentials LBSW & EIS

NPI Number Detail

NPI Number 1730291055
Provider Enumeration Date 2006-08-31
Last Updated Date 2007-07-27

Provider Mailing Address Detail

Address 1005 Midwestern Pkwy
City Wichita Falls
State Texas (TX)
Post Code 763022211
Phone Number 9403220771
Fax Number 9407664942

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 37529
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00T22Y TX BCBS #

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FAQs about Traci Ludtke

What is the unique 10-digit identifier code issued to Traci Ludtke by the Centers for Medicare & Medicaid Services?

The Traci Ludtke has been assigned the NPI (National Provider Identifier) 1730291055 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Traci Ludtke is located?

The Traci Ludtke is situated at the following address: 1005 Midwestern Pkwy, Wichita Falls, TX, 763022211.

What is Traci Ludtke's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Traci Ludtke is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

When did Traci Ludtke receive its 1730291055 assignment?

The Traci Ludtke was assigned its 1730291055 on 2006-08-31, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Traci Ludtke most recently updated or revised?

The details related to Traci Ludtke, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-27.

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