Individual provider · Type 1 NPI

Tracy Gordon, LCSW

Clinical Social Worker · Valencia, CA

NPI number 1720102155 Active

Practice location

25050 Avenue Kearny, Suite 201
Valencia, CA 91355-1255

Mailing address

25050 Avenue Kearny Ste 203
Valencia, CA 91355-1257

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 22738 (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 1720102155

Tracy Gordon, LCSW's National Provider Identifier is 1720102155, issued on Mar 19, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Valencia, CA. The record was last updated on Dec 20, 2021.