Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tracy Lynn Koller, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1780849828

Mrs. Tracy Lynn Koller, MSW, LCSW is a Clinical Social Worker in Gillette, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2008
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

21 Lacey Ave
Gillette, NJ 07933-1406
Phone: (908) 331-3730
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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 44SC05190500 (NJ)

Record details

NPI number1780849828
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedJuly 28, 2008
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023