Individual provider · Type 1 NPI

Tracy D. Ellman, LCSW

Clinical Social Worker · Miami, OK

NPI number 1124359682 Active

Practice location

30 C St NE
Miami, OK 74354-6316

Fax (918) 542-7778

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700X4724 (OK)

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 1124359682

Tracy D. Ellman, LCSW's National Provider Identifier is 1124359682, issued on Jan 23, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Miami, OK. The record was last updated on Jan 29, 2015.