Individual provider · Type 1 NPI

Marypat B. Tracy, LCSW

Clinical Social Worker · Philadelphia, PA

NPI number 1255636056 Active

Practice location

4100 Main St Suite 200, Supportive Older Women's Network
Philadelphia, PA 19127-1623

Fax (215) 487-3111

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW013006 (PA)

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 1255636056

Marypat B. Tracy, LCSW's National Provider Identifier is 1255636056, issued on Jan 26, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 26, 2011.