Individual provider · Type 1 NPI

Tracy Kennedy

Clinical Social Worker · Santa Cruz, CA

NPI number 1790217073 Active

Practice location

716 Ocean St
Santa Cruz, CA 95060-4032

Call (831) 465-4907 Map

Mailing address

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW105315 (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 1790217073

Tracy Kennedy's National Provider Identifier is 1790217073, issued on Mar 28, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Cruz, CA. The record was last updated on Sep 10, 2023.