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

Tracy Gullage, ACSW

Individual provider Clinical Social Worker · NPI 1679450605

Tracy Gullage, ACSW is a Clinical Social Worker in Thousand Oaks, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

501 Marin St Ste 225
Thousand Oaks, CA 91360-4301
Phone: (818) 635-0352
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 ASW108187 (CA)

Record details

NPI number1679450605
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACSW
Sole proprietorYes
NPI enumeratedAugust 20, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address23373 Bassett St, West Hills, CA 91307-2402

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