Individual provider · Type 1 NPI

Tracy Lee Wellman, LCSW

Clinical Social Worker · Daytona Beach, FL

NPI number 1942060017 Active

Practice location

1620 Mason Ave Ste C
Daytona Beach, FL 32117-5513

Mailing address

228 Fountain Lake Blvd
Daytona Beach, FL 32117-3833

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW16886 (FL)

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 1942060017

Tracy Lee Wellman, LCSW's National Provider Identifier is 1942060017, issued on Mar 19, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Daytona Beach, FL. The record was last updated on Mar 19, 2024.