Individual provider · Type 1 NPI

Kaisha Tracy, LICSW

Clinical Social Worker · Richfield, MN

NPI number 1821639790 Active

Practice location

6425 Nicollet Ave
Richfield, MN 55423-1675

Call (612) 861-1675 Map

Fax (612) 861-3446

Other practice locations

  • 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430-2322 · (763) 569-5228
  • 1001 Highway 7 Ste 309, Hopkins, MN 55305-4737 · (952) 426-6600

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X25914 (MN)

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 1821639790

Kaisha Tracy, LICSW's National Provider Identifier is 1821639790, issued on Oct 2, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richfield, MN. The record was last updated on Mar 17, 2023.