Individual provider · Type 1 NPI

Tracy Ann Bennett, LCSW

Clinical Social Worker · Shorewood, WI

NPI number 1417629668 Active

Practice location

2510 E Capitol Dr
Shorewood, WI 53211-2136

Call (414) 975-8106 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X131056-121 (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 1417629668

Tracy Ann Bennett, LCSW's National Provider Identifier is 1417629668, issued on Oct 5, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shorewood, WI. The record was last updated on May 2, 2025.