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

Tracy Penn, LICSW

Individual provider Clinical Social Worker · NPI 1861284713

Tracy Penn, LICSW is a Clinical Social Worker in Monticello, Minnesota. Qualified in 2002, 24 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
24
Licensed in
MN
In the registry since
2025
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

407 Washington St
Monticello, MN 55362-8815
Phone: (763) 888-9626
Fax: (763) 295-5086
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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 15990 (MN)

Record details

NPI number1861284713
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMay 19, 2025
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025
Mailing address407 Washington St, Monticello, MN 55362-8815

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Monticello