Individual provider · Type 1 NPI

Tracie Penunuri, LCSW

Clinical Social Worker · Salt Lake City, UT

NPI number 1245666106 Active

Practice location

5965 S 900 E
Salt Lake City, UT 84121-1720

Call (801) 263-7138 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X354431-3501 (UT)

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 1245666106

Tracie Penunuri, LCSW's National Provider Identifier is 1245666106, issued on Sep 23, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 8, 2015.