Individual provider · Type 1 NPI
Michael Patrick Wall, LCSWC
Clinical Social Worker · Severna Park, MD
Practice location
692 Ritchie Hwy, Suite 203
Severna Park, MD 21146-3919
Mailing address
64 Dungarrie Rd
Balto, MD 21228-3401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCSWC07449 (MD) |
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 1063552586
Michael Patrick Wall, LCSWC's National Provider Identifier is 1063552586, issued on Feb 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Severna Park, MD. The record was last updated on Jul 8, 2007.