Individual provider · Type 1 NPI

Tracy Burnham, L.C.S.W.

Clinical Social Worker · Centerville, UT

NPI number 1386196830 Active

Practice location

94 E Pages Ln, Suite A
Centerville, UT 84014-2216

Call (801) 294-0578 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10129124-3501 (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 1386196830

Tracy Burnham, L.C.S.W.'s National Provider Identifier is 1386196830, issued on Nov 1, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Centerville, UT. The record was last updated on Nov 1, 2016.