Individual provider · Type 1 NPI
Cynthia Wallace, LICSW
Clinical Social Worker · Walla Walla, WA
Practice location
19 E Birch St Ste 103
Walla Walla, WA 99362-3084
Mailing address
553 Locust St
Walla Walla, WA 99362-3338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LW00009476 (WA) |
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 1093075913
Cynthia Wallace, LICSW's National Provider Identifier is 1093075913, issued on May 24, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Walla Walla, WA. The record was last updated on May 24, 2012.