Individual provider · Type 1 NPI

Tracey Lynn White, LCSW

Clinical Social Worker · Coeur D Alene, ID

NPI number 1134555782 Active

Practice location

2290 W Prairie Ave
Coeur D Alene, ID 83815-8424

Call (207) 772-7994 Map

Fax (208) 772-5916

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X1234 (AK)
Clinical Social Worker Primary 1041C0700X38434 (ID)

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 1134555782

Tracey Lynn White, LCSW's National Provider Identifier is 1134555782, issued on Sep 15, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coeur D Alene, ID. The record was last updated on Feb 21, 2022.