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

Kristin Nicole Tracy, LISW-SUPV

Individual provider Clinical Social Worker · NPI 1073041935

Kristin Nicole Tracy, LISW-SUPV is a Clinical Social Worker in Mentor, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2017

Practice location Address checks out

8224 Mentor Ave Ste 208
Mentor, OH 44060-5743
Phone: (440) 392-2222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I1440505-SUPV (OH)

Record details

NPI number1073041935
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-SUPV
Sole proprietorYes
NPI enumeratedMay 23, 2017
Last updated in NPPESJuly 21, 2022

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