Individual provider · Type 1 NPI

Tracey Nicole Tedder, BSW

Clinical Social Worker · Laramie, WY

NPI number 1487453288 Active

Practice location

1263 N 15th St
Laramie, WY 82072-2343

Mailing address

302 Stampede St
Newcastle, WY 82701-3037

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700XPCSW-1237 (WY)

Clinical Social Worker: 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 interpers…

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About NPI 1487453288

Tracey Nicole Tedder, BSW's National Provider Identifier is 1487453288, issued on Mar 12, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Laramie, WY. The record was last updated on Jun 20, 2025.