Individual provider · Type 1 NPI

Caitlyn Wallace, LCSW

Clinical Social Worker · Powhatan, VA

NPI number 1013873579 Active

Practice location

3910 Old Buckingham Rd
Powhatan, VA 23139-5757

Mailing address

3910 Old Buckingham Rd Ste A
Powhatan, VA 23139-5757

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904019712 (VA)

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 1013873579

Caitlyn Wallace, LCSW's National Provider Identifier is 1013873579, issued on Dec 29, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Powhatan, VA. The record was last updated on Dec 31, 2025.