Individual provider · Type 1 NPI

Kristin Nicole Tracy, LISW-SUPV

Clinical Social Worker · Mentor, OH

NPI number 1073041935 Active

Practice location

8224 Mentor Ave Ste 208
Mentor, OH 44060-5743

Call (440) 392-2222 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XI1440505-SUPV (OH)

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 1073041935

Kristin Nicole Tracy, LISW-SUPV's National Provider Identifier is 1073041935, issued on May 23, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mentor, OH. The record was last updated on Jul 21, 2022.