Individual provider · Type 1 NPI

Tracy Rene Overly

Clinical Social Worker · Los Angeles, CA

NPI number 1558918052 Active

Practice location

515 Columbia Ave # 200
Los Angeles, CA 90017-1209

Call (213) 249-9388 Map

Fax (213) 389-7993

Mailing address

10 W Bay State St, P.o. Box 1104
Alhambra, CA 91802

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X107652 (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 1558918052

Tracy Rene Overly's National Provider Identifier is 1558918052, issued on Aug 20, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 8, 2023.