Individual provider · Type 1 NPI

Tracy Sandifer, LCSW

Clinical Social Worker · Vallejo, CA

NPI number 1104714070 Active

Practice location

975 Sereno Dr # H25
Vallejo, CA 94589-2441

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X130115 (CA)

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 1104714070

Tracy Sandifer, LCSW's National Provider Identifier is 1104714070, issued on Jun 27, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vallejo, CA. The record was last updated on Jun 27, 2025.