Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaisha Tracy, LICSW

Individual provider Clinical Social Worker · NPI 1821639790

Kaisha Tracy, LICSW is a Clinical Social Worker in Richfield, Minnesota. Works from 3 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

6425 Nicollet Ave
Richfield, MN 55423-1675
Phone: (612) 861-1675
Fax: (612) 861-3446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5910 Shingle Creek Pkwy, Brooklyn Center, MN 55430-2322 — (763) 569-5228
  • 1001 Highway 7 Ste 309, Hopkins, MN 55305-4737 — (952) 426-6600

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 25914 (MN)

Record details

NPI number1821639790
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedOctober 2, 2019
Last updated in NPPESMarch 17, 2023
Certification dateMarch 17, 2023
Mailing address6425 Nicollet Ave, Richfield, MN 55423-1675

Other providers in Richfield