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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
1349383501 | UT | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073126512 | Tracy L. Anderson | Licensed Practical Nurse | 14340 Castlewood St, Waverly, NE 68462-1580 | 2020-08-25 |
1710527718 | Tracy Anderson | Counselor | 11 Ne 3rd St, Washington, IN 47501-2903 | 2020-01-08 |
1083272504 | Tracy T Anderson | Hearing Instrument Specialist | 2725 S I 35 Service Rd, Moore, OK 73160-2715 | 2019-05-30 |
1821652777 | Tracy Anderson | Doula | 5366 Cooper St, Detroit, MI 48213-3075 | 2019-04-25 |
1568913218 | Tracy Anderson | Community/Behavioral Health | 5 Norfolk Towne St, Southfield, MI 48075-3464 | 2016-10-18 |
1205232063 | Tracy Lynn Anderson | Contractor | 704 E State St, Albany, WI 53502-9533 | 2014-11-06 |
1235431685 | Tracy Anderson | Social Worker | 1490 East Main St., Columbus, OH 43205 | 2010-11-17 |
1285958504 | Tracy M Anderson | Speech-Language Pathologist | 1012 Tabor Pl, Utica, NY 13502-3642 | 2010-03-15 |
1710491113 | Tracy Anderson | Health Educator | 401 Bow St, Elkton, MD 21921-5501 | 2017-11-21 |
1962914424 | Tracy Jerome Anderson | Counselor | 543 Stoner Ave, Shreveport, LA 71101-4122 | 2017-10-24 |
Street Address |
5689 S REDWOOD RD # 30 |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84123-5322 |
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 |
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 Code | 1041C0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | Clinical |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922606763 | Eric Jeffrey Hales | Social Worker | 352 S Denver St Ste 350, Salt Lake City, UT 84111-3059 | 2020-10-14 |
1700490067 | Open Arms Youth and Adult Services | Social Worker | 3007 S West Temple Ste J, Salt Lake City, UT 84115-6701 | 2020-09-03 |
1275147019 | Libby Rae Hughes | Social Worker | 1170 S Foothill Dr Apt 323, Salt Lake City, UT 84108-1955 | 2020-08-31 |
1881206910 | Christine Madden | Social Worker | 699 E South Temple Ste 300a, Salt Lake City, UT 84102-1188 | 2020-08-19 |
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 |
City | SALT LAKE CITY |
Zip Code | 84123 |
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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.