Individual provider · Type 1 NPI
Tracy Lynn Koller, MSW, LCSW
Clinical Social Worker · Gillette, NJ
Practice location
21 Lacey Ave
Gillette, NJ 07933-1406
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 44SC05190500 (NJ) |
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…
About NPI 1780849828
Tracy Lynn Koller, MSW, LCSW's National Provider Identifier is 1780849828, issued on Jul 28, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gillette, NJ. The record was last updated on May 17, 2023.