Individual provider · Type 1 NPI

Tracy Marie Vega, LCSW

Clinical Social Worker · San Rafael, CA

NPI number 1508325234 Active

Practice location

3230 Kerner Blvd
San Rafael, CA 94901-4840

Fax (415) 473-3080

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	ASW76850 (CA)
Clinical Social Worker Primary	1041C0700X	92354 (CA)

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 1508325234

Tracy Marie Vega, LCSW's National Provider Identifier is 1508325234, issued on Mar 12, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Rafael, CA. The record was last updated on Oct 21, 2019.