MS. TRACI H KENT (NPI# 1760804900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760804900 |
| Entity Type | Individual |
| Full Name | MS. TRACI H KENT |
| Credential | LCSW |
| Practice Address |
79 N Main Lewiston UT 84320 |
| Practice Telephone | 4357609709 |
| Mailing Telephone | 4357609709 |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2019-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
131685 | UT | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
006830 | IA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
131685-8581 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760916738 | Traci Kent | Community Health Worker | 1492 S Silicon Way Ste A, St George, UT 84770-7156 | 2017-04-17 |
| Street Address |
79 N MAIN |
| City | LEWISTON |
| State | UT |
| Zip Code | 84320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942681887 | Love @ Home | Health Maintenance Organization | 130 N Main St, Lewiston, UT 84320-1501 | 2015-06-16 |
| 1538549100 | Ashley Denton | Licensed Practical Nurse | 130 N Main St, Lewiston, UT 84320-1501 | 2015-06-09 |
| 1871587774 | Russell Nelson Hirst Jr. | Internal Medicine | 1565 S 800 E, Lewiston, UT 84320-2023 | 2005-09-07 |
| 1164486064 | Matthew John Welter | Family Medicine | 1915 E 13000 N, Cove, UT 84320-2130 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285247 | Genuine Home Care LLC | In Home Supportive Care | 190 Bates St Ste 2-3, Lewiston, ME 04240-7329 | 2020-11-02 |
| 1609476852 | Allied Community Services LLC | Community/Behavioral Health | 476 Sabattus St, Lewiston, ME 04240-4111 | 2020-10-27 |
| 1124627765 | Peace Care Services LLC | Community/Behavioral Health | 145 Lisbon St Ste 508, Lewiston, ME 04240-7241 | 2020-10-24 |
| 1285231753 | Left Bank Recovery Services | Clinic/Center | 37 Park St Ste 303, Lewiston, ME 04240-7195 | 2020-10-07 |
| 1316544919 | Micro Direct, Inc. | Durable Medical Equipment & Medical Supplies | 803 Webster St, Lewiston, ME 04240-1600 | 2020-10-06 |
| 1013514926 | Strive Home Care LLC | Home Health | 145 Lisbon St Ste 402, Lewiston, ME 04240-7235 | 2020-10-04 |
| 1962009993 | April Jodie Bolduc | Physical Therapist | 61 Allen Ave, Lewiston, ME 04240-4826 | 2020-10-02 |
| 1629685235 | Mark Mitchell Roubidoux II | Nurse Practitioner | 201 18th Ave, Lewiston, ID 83501-2768 | 2020-09-28 |
| 1164039988 | Seth Thomas Six | Nurse Practitioner | 803 Mill Rd, Lewiston, ID 83501-0745 | 2020-09-25 |
| 1538774013 | Taylor Eells | Occupational Therapist | 984 Sabattus St Unit 4, Lewiston, ME 04240-3363 | 2020-09-11 |
| Find all providers in LEWISTON | ||||
| 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 |
|---|---|---|---|---|
| 1215550108 | Jasmine Dawn Hussey | Social Worker | 17 Cram Ave Apt 3, Lewiston, ME 04240-3750 | 2020-05-26 |
| 1124650106 | Summer Overberg | Social Worker | 908 Idaho St, Lewiston, ID 83501-1937 | 2020-02-07 |
| 1922665173 | Shana Wallace | Social Worker | 150 South Ave # 2, Lewiston, ME 04240-5759 | 2019-05-23 |
| 1407336746 | Kelsey Wilcox | Social Worker | 37 Park St Ste 203, Lewiston, ME 04240-7195 | 2018-08-16 |
| 1003301680 | Serenity Treatment LLC | Social Worker | 1229 Main St Ste 101, Lewiston, ID 83501-6901 | 2018-06-26 |
| 1053830299 | Rebecca Baker | Social Worker | 37 Park St Ste 201, Lewiston, ME 04240-7196 | 2017-09-19 |
| 1043660343 | Heath B Walters | Social Worker | 504 Main St Ste 470, Lewiston, ID 83501-1806 | 2016-06-16 |
| 1700253614 | Eric Stephen Esty | Social Worker | 35 Westminster St, Lewiston, ME 04240-3531 | 2015-08-26 |
| 1205213857 | Brandon Mcintosh | Social Worker | 523 1/2 Main St Ste 7, Lewiston, ID 83501-1870 | 2015-05-04 |
| 1285026229 | Lauren Nichols | Social Worker | 1310 9th Ave, Lewiston, ID 83501-3104 | 2015-02-27 |
| Find all providers in LEWISTON | ||||
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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.