Tracie Lynn Baldwin, CSW
Individual provider Active NPI Clinical Social Worker · Riverton, UT
NPI 1154699098 · NPPES record last updated Dec 7, 2011
Key facts
- NPI
- 1154699098
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 7072218-3502 (UT)
- Practice address
- 1262 W 12700 S
Suite D
Riverton, UT 84065-7798 - Phone
- (385) 468-4610
- Fax
- (385) 468-4611
- NPI assigned
- Dec 7, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7072218-3502 | UT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7072218-3502 | UT | Yes |
Addresses
Primary practice location
1262 W 12700 S
Suite D
Riverton, UT 84065-7798
Mailing address
177 West Price Ave
Sou8Th Salt Lake, UT 84115
Phone (385) 468-4500
Other providers in Riverton, UT
- Hannah Preeth Backman
- Ellois Wilson Bailey
- Shara Bailey
- Shawn Bailey
- Brittany Steele Baker
- Daren Ballard
- Juan Miguel Garrido Balmedina
- Sheri L Bangerter
- Aubrey Bardsley
- Bare Hair Electrolysis
All providers in Riverton, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.