Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TRACY BERT ANDERSON, LCSW
ActiveClinical Social Worker · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1568595106
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2007 (19.107986694787 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1349383501 (UT)
Practice Information
- Address
-
5689 S REDWOOD RD # 30SALT LAKE CITY, UT, 841235322Browse UT providers · Browse ZIP 84123
- Phone
- 8013594884
- Fax
- 8015321052
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| RODERICK VERNE JOHNSON | LCSW | 1780672915 |
| EDNA MERRY WILCOCK | R.N., L.C.S.W. | 1194714766 |
| MS. MABEL ANN JENTZSCH | L.C.S.W. | 1326020512 |
| MR. DAVID GARY ELDREDGE | LCSW | 1699758342 |
| MR. CORY MELVIN SHIPP | LCSW | 1609850221 |
| MRS. SANDRA KAY VARLEY | LCSW | 1083699565 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.