Wellformed AI

NPI 1306185087 · live from the CMS NPI Registry

Traci Denise Bartley, LCSW

Social Worker, Clinical in Edmond, OK. National Provider Identifier 1306185087, active.

NPI record

NPI1306185087 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location14101 N Eastern Ave, Edmond, OK 73013
Practice phone405-340-1621
EnumeratedJanuary 31, 2013
Last updatedFebruary 11, 2020
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X2358 (OK)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.