Individual provider · Type 1 NPI

Tracey Kathleen Porter, LCSW

Clinical Social Worker · Washington, UT

NPI number 1922490317 Active

Practice location

85 N 300 W
Washington, UT 84780-3562

Mailing address

558 S Aeries Dr
Washington, UT 84780-3568

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1922490317

Tracey Kathleen Porter, LCSW's National Provider Identifier is 1922490317, issued on Feb 23, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Washington, UT. The record was last updated on Jun 16, 2025.