Individual provider · Type 1 NPI

Jonathan Marc Wallis, LCSW

Clinical Social Worker · San Francisco, CA

NPI number 1124253307 Active

Practice location

1610 Scott St
San Francisco, CA 94115-3014

Specialties and licenses

TaxonomyCodeLicense
Psychoanalyst 102L00000XNone listed
Clinical Social Worker Primary 1041C0700XLCS19858 (CA)

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 1124253307

Jonathan Marc Wallis, LCSW's National Provider Identifier is 1124253307, issued on May 18, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Francisco, CA. The record was last updated on May 18, 2009.