National Provider Identifier
Tracy Lyn Vedder, LCSW
Tracy Lyn Vedder, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Salamanca, NY and a listed phone number of (716) 945-9001.
Profile Overview
- NPI
- 1316482102
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 03, 2017
- Last Updated
- January 03, 2017
Practice Location
- 987 R C Hoag Dr
- Salamanca, NY 14779-1365
Phone: (716) 945-9001
Mailing Address
- 3161 French RD
- PO Box 279
- Yorkshire, NY 14173-8005
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1316482102
- Entity Type
- Individual
- Last Name
- Vedder
- First Name
- Tracy
- Middle Name
- Lyn
- Name Prefix
- Mrs.
- Credential
- LCSW
- Provider Other Last Name
- Holmes
- Provider Other First Name
- Tracy
- Provider Other Middle Name
- Lyn
- Provider Other Name Prefix Text
- Miss
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 3161 French RD
- Mailing Address Line 2
- PO Box 279
- Mailing City
- Yorkshire
- Mailing State
- NY
- Mailing ZIP Code
- 14173-8005
- Mailing Country
- US
- Mailing Phone
- (716) 353-2832
- Practice Street Address
- 987 R C Hoag Dr
- Practice City
- Salamanca
- Practice State
- NY
- Practice ZIP Code
- 14779-1365
- Practice Country
- US
- Practice Phone
- (716) 945-9001
- Practice Fax
- (716) 945-0790
- Enumeration Date
- January 03, 2017
- Last Updated
- January 03, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)