Individual provider · Type 1 NPI

Katherine Lee Wallace, LCSW

Clinical Social Worker · Richmond, VA

NPI number 1205596863 Active

Practice location

1200 E Marshall St
Richmond, VA 23298-5023

Call (804) 297-5797 Map

Mailing address

2218 Parkwood Ave Fl 2
Richmond, VA 23220-5207

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904012660 (VA)

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 1205596863

Katherine Lee Wallace, LCSW's National Provider Identifier is 1205596863, issued on Dec 23, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richmond, VA. The record was last updated on Dec 23, 2021.