Individual provider · Type 1 NPI
Tracy Kenline, LCSW
Clinical Social Worker · Broomfield, CO
Practice location
740 Burbank St
Broomfield, CO 80020-1658
Fax (855) 458-4470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | SW7622 (FL) |
| Clinical Social Worker Primary | 1041C0700X | 1453 (CO) |
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 1629199765
Tracy Kenline, LCSW's National Provider Identifier is 1629199765, issued on Apr 3, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Broomfield, CO. The record was last updated on Nov 21, 2011.