Individual provider · Type 1 NPI

Tracy Penn, LICSW

Clinical Social Worker · Monticello, MN

NPI number 1861284713 Active

Practice location

407 Washington St
Monticello, MN 55362-8815

Call (763) 888-9626 Map

Fax (763) 295-5086

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X15990 (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 1861284713

Tracy Penn, LICSW's National Provider Identifier is 1861284713, issued on May 19, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Monticello, MN. The record was last updated on May 19, 2025.