TRACY JUNEIL KELLY
NPI 1508510033
Social Worker - Clinical in Stockton, CA

Q: What is Tracy Kelly's NPI number?

The NPI number for Tracy Kelly is 1508510033. It was assigned to this individual provider in the NPPES registry on February 3, 2022.

Q: What is Tracy Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tracy Kelly was last updated on April 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since February 03, 2022

1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-8644 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 30, 2024, Apr 10, 2024, Feb 3, 2022 (3 updates tracked since 2022).

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About Tracy Juneil Kelly NPPES

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

TRACY JUNEIL KELLY (NPI 1508510033) is an individual clinical provider in Stockton, California, licensed in California (117056) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1508510033

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameTRACY JUNEIL KELLY

Location Address1212 N CALIFORNIA STStockton, CA 95202-1552

Mailing AddressPo Box 2187Stockton, CA 95201-2187 · (925) 497-1737

Phone(209) 468-8644

Sole ProprietorNo

Enumeration DateFebruary 3, 2022

Last NPPES UpdateApril 30, 20243 updates tracked since enumeration

NPPES CertifiedApril 30, 2024

✔ NPI 1508510033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CA · 117056

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.

Also ListedCounselorTaxonomy 101Y00000X

1212 N CALIFORNIA ST, Stockton, CA 95202

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES

Clinic/Center (Mental Health (Including Community Mental Health Center))