CHARLES C TRACY LICSW
NPI 1710076393
Social Worker - Clinical in Minneapolis, MN

Active since October 12, 2006
717 E RIVER PKWY, MINNEAPOLIS, MN 55455(612) 436-4800(612) 436-2606 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles C Tracy Licsw NPPES

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

CHARLES C TRACY LICSW (NPI 1710076393) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (01754) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1710076393
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCHARLES C TRACYCredential: LICSW
Location Address717 E RIVER PKWYMinneapolis, MN 55455-0369
Mailing Address1281 Raymond AveSaint Paul, MN 55108-1817 · (651) 644-4408 · Fax (612) 436-2606
Fax(612) 436-2606
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1710076393 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 MN · 01754
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.

717 E RIVER PKWY, Minneapolis, MN 55455

Other Providers at the Same Location NPPES 8

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

Preventive Medicine (Occupational Medicine)
717 E RIVER PKWY
MINNEAPOLIS, MN 55455
Psychologist (Clinical)
717 E RIVER PKWY
MINNEAPOLIS, MN 55455
Psychologist (Clinical)
717 E RIVER PKWY
MINNEAPOLIS, MN 55455
Social Worker (Clinical)
717 E RIVER PKWY
MINNEAPOLIS, MN 55455
Marriage & Family Therapist
717 E RIVER PKWY
MINNEAPOLIS, MN 55455
Marriage & Family Therapist
717 E RIVER PKWY
MINNEAPOLIS, MN 55455
Psychologist (Clinical)
717 E RIVER PKWY
MINNEAPOLIS, MN 55455
Psychologist (Clinical)
717 E RIVER PKWY
MINNEAPOLIS, MN 55455

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 Charles Tracy's NPI number?

The NPI number for Charles Tracy is 1710076393. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Charles Tracy located?

Charles Tracy practices at 717 E River Pkwy, Minneapolis, MN 55455. The listed phone number is (612) 436-4800.

What is Charles Tracy'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 Charles Tracy was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.