Individual provider · Type 1 NPI
Edward S. Wallach, LCSW, PhD
Clinical Social Worker · Staten Island, NY
Practice location
673 Stewart Avenue
Staten Island, NY 10314
Fax (718) 698-9357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R027293 (NY) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1003238205
Edward S. Wallach, LCSW, PhD's National Provider Identifier is 1003238205, issued on Jan 8, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on Jan 8, 2014.