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TRACY SANDIFER LCSW
NPI 1104714070
Social Worker - Clinical in Vallejo, CA

Active since June 27, 2025
975 SERENO DR # H25, VALLEJO, CA 94589(925) 705-9667 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracy Sandifer Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY SANDIFER LCSW (NPI 1104714070) is an individual clinical provider in Vallejo, California, licensed in California (130115) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1104714070
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTRACY SANDIFERCredential: LCSW
Location Address975 SERENO DR # H25Vallejo, CA 94589-2441
Mailing Address975 Sereno Dr # H25Vallejo, CA 94589-2441 · (925) 705-9667
Phone(925) 705-9667
Sole ProprietorYes
Enumeration DateJune 27, 2025
NPPES CertifiedJune 27, 2025
✔ NPI 1104714070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 130115
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
975 SERENO DR # H25, Vallejo, CA 94589
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Sandifer's NPI number?

The NPI number for Tracy Sandifer is 1104714070. It was assigned to this individual provider in the NPPES registry on June 27, 2025.

Where is Tracy Sandifer located?

Tracy Sandifer practices at 975 Sereno Dr # H25, Vallejo, CA 94589. The listed phone number is (925) 705-9667.

What is Tracy Sandifer's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tracy Sandifer was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.