MR. TRACY BERT ANDERSON


Address: 5689 S Redwood Rd # 30, Salt Lake City, UT 84123-5322
Phone: 8013594884

MR. TRACY BERT ANDERSON (NPI# 1568595106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568595106
Entity Type Individual
Full Name MR. TRACY BERT ANDERSON
Credential LCSW
Practice Address 5689 S Redwood Rd # 30
Salt Lake City
UT 84123-5322
Practice Telephone 8013594884
Practice Fax Number 8015321052
Mailing Telephone 8013594884
Mailing Fax Number 8015321052
Enumeration Date 2007-03-13
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
1349383501 UT Behavioral Health & Social Service Providers

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Office Location

Street Address 5689 S REDWOOD RD # 30
City SALT LAKE CITY
State UT
Zip Code 84123-5322

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417155227 Katherine Melissa Tolsma Social Worker 5689 S Redwood Rd # 30, Salt Lake City, UT 84123-5322 2007-07-03
1720295074 Alpine Center for Personal Growth Social Worker 5689 S Redwood Rd # 30, Salt Lake City, UT 84123-5322 2007-05-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679186837 Utah Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 5792 South Redwood Road, Taylorsville, UT 84123 2020-08-27
1164040614 Mark E Hutchinson Counselor 5047 S Galleria Drive, Murray, UT 84123 2020-07-10
1396259321 Utah Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 4082 South Redwood Road, West Valley Road, UT 84123 2017-11-29
1083131890 Kelli Mcstotts Counselor 5689 S. Redwood Road, Taylorsville, UT 84123 2017-08-23
1740706571 Laura B Ellsworth Case Manager/Care Coordinator 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 2017-08-14
1790214120 Integrated Autism Therapies Behavioral Analyst 5984 S. Susquehanna, Murray, UT 84123 2017-06-08
1083163885 Michael John Flint Counselor 5861 South Redwood Road, #24, Taylorsville, UT 84123 2016-09-22
1548716236 Andres Ramos Licensed Psychiatric Technician 697 West 4170 South, Murray, UT 84123 2016-09-01
1467807040 Sheryl R Schindler Counselor 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 2016-05-02
1730562141 Megan Merica Snarr Dentist 597 West 5300 South, Murray, UT 84123 2015-07-02
Find all providers in zip 84123

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

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1003428566 Laura Marie Baumgart Social Worker 1390 S 1100 E Ste 204, Salt Lake City, UT 84105-2463 2020-08-17
1851901193 Angelique Colemere Social Worker 1399 S 700 E Ste 16, Salt Lake City, UT 84105-2170 2020-08-02
1871102095 Aimee Hadfield Social Worker Hearten House, 314 W. Broadway #222, Salt Lake City, UT 84109 2020-07-23
1619586856 Layne Gerry Daybell Social Worker 136 E South Temple, Salt Lake City, UT 84111-1180 2020-07-23
1043829328 Christopher Wesley Pace Social Worker 2000 Circle of Hope Dr Rm 2840, Salt Lake City, UT 84112-5550 2020-07-23
1962028795 Amy Lynn Horyna Social Worker 1950 Circle of Hope Dr Rm 2935, Salt Lake City, UT 84112-5500 2020-06-17
Find all providers in SALT LAKE CITY

Competitor

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City SALT LAKE CITY
Zip Code 84123

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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