Individual provider · Type 1 NPI

Codie Wallace, MSW

Clinical Social Worker · Casper, WY

NPI number 1073759429 Active

Practice location

2510 E 15th St, Suite 11
Casper, WY 82609-4111

Call (307) 234-9979 Map

Fax (307) 234-9989

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Clinical Social Worker Primary 1041C0700XLCSW 800 (WY)

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 1073759429

Codie Wallace, MSW's National Provider Identifier is 1073759429, issued on Jan 6, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Casper, WY. The record was last updated on Sep 21, 2012.