TRACIE JOELENE STEVENS


Address: 1009 N Blue Topaz Dr, Washington, UT 84780-3035
Phone: 4356329514

TRACIE JOELENE STEVENS (NPI# 1568887073) 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) 1568887073
Entity Type Individual
Full Name TRACIE JOELENE STEVENS
Other Name TRACIE JOELENE CONNORS
Credential LCSW
Practice Address 1009 N Blue Topaz Dr
Washington
UT 84780-3035
Practice Telephone 4356329514
Mailing Telephone 4356329514
Enumeration Date 2014-02-20
Last Update Date 2020-03-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
9436174-3502 UT Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1009 N Blue Topaz Dr, Washington, UT 847803035

Office Location

Street Address 1009 N BLUE TOPAZ DR
City WASHINGTON
State UT
Zip Code 84780-3035

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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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1710596473 Aubrey Rainbow Counselor 4005 Wisconsin Ave Nw, Washington, DC 20016-7774 2020-07-29
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1841818754 Sarah May Gaudreau Counselor 6604 2nd St Nw, Washington, DC 20012-2130 2020-07-07
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Competitor

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City WASHINGTON
Zip Code 84780

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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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