Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Traci Rochelle Printup-Khan, LCSW

Individual provider Clinical Social Worker · NPI 1750406500

Mrs. Traci Rochelle Printup-Khan, LCSW is a Clinical Social Worker in Thousand Oaks, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

125 W Thousand Oaks Blvd Ste 500
Thousand Oaks, CA 91360-4462
Phone: (805) 777-3516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCS16706 (CA)

Record details

NPI number1750406500
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 20, 2007
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021

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