Individual provider · Type 1 NPI

Tracy Pederson

Clinical Social Worker · Madison, WI

NPI number 1144897604 Active

Practice location

2021 Atwood Ave
Madison, WI 53704-5324

Mailing address

865 Willow Brook Trl
Sun Prairie, WI 53590-3454

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X8875-123 (WI)

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 1144897604

Tracy Pederson's National Provider Identifier is 1144897604, issued on Jun 4, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Jun 4, 2021.