Tracy Bert Anderson in Salt Lake City - Clinical

Tracy Bert Anderson - NPI 1568595106

Tracy Bert Anderson is a Clinical in Salt Lake City, Utah. Tracy Bert Anderson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tracy Bert Anderson is 1568595106. The last update date is 2007-07-08.

Tracy Bert Anderson's current location address is 5689 S Redwood Rd # 30, Salt Lake City, Utah. You can contact this provider via phone number 8013594884 and fax number 8015321052. The mailing address for Tracy Bert Anderson is 5689 S Redwood Rd # 30, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Bert Anderson
Address 5689 S Redwood Rd # 30, Salt Lake City, Utah
Phone Number 8013594884
Fax Number 8015321052
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1568595106
Provider Enumeration Date 2007-03-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5689 S Redwood Rd # 30
City Salt Lake City
State Utah (UT)
Post Code 841235322
Phone Number 8013594884
Fax Number 8015321052

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 1349383501
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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FAQs about Tracy Bert Anderson

What is the unique 10-digit identification code issued to Tracy Bert Anderson by the Centers for Medicare & Medicaid Services?

The Tracy Bert Anderson has been assigned the NPI (National Provider Identifier) 1568595106 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Tracy Bert Anderson is geographically located?

The Tracy Bert Anderson is physically situated at the following location: 5689 S Redwood Rd # 30, Salt Lake City, UT, 841235322.

What is Tracy Bert Anderson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Tracy Bert Anderson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date was the 1568595106 assigned to Tracy Bert Anderson?

The Tracy Bert Anderson was issued its 1568595106 on 2007-03-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Tracy Bert Anderson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Tracy Bert Anderson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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