Tracey White - Social Worker in Baltimore, Maryland | ProviderWire

Full Name

Tracey White

NPI Number

1689308975

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/12/2022

Specialties

(Taxonomies)

Name

Code

104100000X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

27797

Contact
Information

Purpose

Mailing

Location

Address

1118 LIGHT ST STE 200

1118 LIGHT ST STE 200

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21230-4152

21230-4152

Country

US

US

Telephone Number

(667) 600-2879

(667) 600-2879

Health Information Exchange

Endpoint Type

DIRECT

DIRECT

Endpoint

twhite@cc-md.org

twhite@cc-md.org

Endpoint Description

Unknown

Unknown

Use

Direct

Unknown

Content Type

CSV

Unknown

Affiliation

N

N

Endpoint Location

1118 Light St Ste 200Baltimore, MD212304152US

1118 Light St Ste 200Baltimore, MD212304152US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/12/2022

Provider Address

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