Individual provider · Type 1 NPI

Brooke Wallace, LCSW

Clinical Social Worker · Madison, WI

NPI number 1083273627 Active

Practice location

811 E Washington Ave
Madison, WI 53703-3688

Call (920) 252-6009 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X11135-123 (WI)

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 1083273627

Brooke Wallace, LCSW's National Provider Identifier is 1083273627, issued on Jun 7, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Madison, WI. The record was last updated on Jul 30, 2025.