Individual provider · Type 1 NPI

Roberta Wallace

Clinical Social Worker · Durham, NC

NPI number 1104043223 Active

Practice location

3333 Dumc
Durham, NC 27710-0001

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC002343 (NC)

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 1104043223

Roberta Wallace's National Provider Identifier is 1104043223, issued on Apr 19, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Durham, NC. The record was last updated on Jul 8, 2007.