Individual provider · Type 1 NPI

Tracy Juneil Kelly

Clinical Social Worker · Stockton, CA

NPI number 1508510033 Active

Practice location

1212 N California St
Stockton, CA 95202-1552

Call (209) 468-8644 Map

Mailing address

PO Box 2187
Stockton, CA 95201-2187

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Social Worker Primary 1041C0700X117056 (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 1508510033

Tracy Juneil Kelly's National Provider Identifier is 1508510033, issued on Feb 3, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stockton, CA. The record was last updated on Apr 30, 2024.