Individual provider · Type 1 NPI

Wanda Dannette Wallace, DSW, LCSW

Clinical Social Worker · Pensacola, FL

NPI number 1043866411 Active

Practice location

9013 University Pkwy Ste C
Pensacola, FL 32514-9421

Call (850) 380-8320 Map

Fax (850) 478-7802

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW13939 (FL)

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 1043866411

Wanda Dannette Wallace, DSW, LCSW's National Provider Identifier is 1043866411, issued on Aug 12, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pensacola, FL. The record was last updated on Aug 20, 2019.