Individual provider · Type 1 NPI

Tracie Dwannetter Walker, SWAAL SA 60128207

Clinical Social Worker · Lakewood, WA

NPI number 1992046387 Active

Practice location

9330 59th Ave SW
Lakewood, WA 98499-2858

Mailing address

6900 N Pecos Rd
North Las Vegas, NV 89086-4400

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLW60520947 (WA)
Social Worker 104100000XSA 60128207 (WA)
Social Worker 104100000X2747G (AL)

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 1992046387

Tracie Dwannetter Walker, SWAAL SA 60128207's National Provider Identifier is 1992046387, issued on Mar 8, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lakewood, WA. The record was last updated on Dec 11, 2023.