Individual provider · Type 1 NPI

Traci Rochelle Printup-Khan, L.C.S.W.

Clinical Social Worker · Thousand Oaks, CA

NPI number 1750406500 Active

Practice location

125 W Thousand Oaks Blvd Ste 500
Thousand Oaks, CA 91360-4462

Call (805) 777-3516 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS16706 (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 1750406500

Traci Rochelle Printup-Khan, L.C.S.W.'s National Provider Identifier is 1750406500, issued on Mar 20, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Thousand Oaks, CA. The record was last updated on Jun 11, 2021.