Individual provider · Type 1 NPI

Steven Curtis Wallace, LLMSW

Clinical Social Worker · Petoskey, MI

NPI number 1003512815 Active

Practice location

3890 Charlevoix Rd Ste 306
Petoskey, MI 49770-8423

Call (231) 881-9125 Map

Mailing address

249 E Hathaway Rd
Harbor Springs, MI 49740-9570

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851116117 (MI)

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 1003512815

Steven Curtis Wallace, LLMSW's National Provider Identifier is 1003512815, issued on Feb 2, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Petoskey, MI. The record was last updated on Feb 2, 2023.