Individual provider · Type 1 NPI

Tracy Pennington, LCSW

Clinical Social Worker · Louisville, KY

NPI number 1902404478 Active

Practice location

5722 Outer Loop
Louisville, KY 40219-4156

Call (502) 492-7455 Map

Fax (502) 921-0222

Mailing address

367 Meadowcrest Dr
Mount Washington, KY 40047-6484

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X255159 (KY)
Clinical Social Worker Primary 1041C0700X257873 (KY)

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 1902404478

Tracy Pennington, LCSW's National Provider Identifier is 1902404478, issued on Oct 15, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on May 14, 2024.