Individual provider · Type 1 NPI

Felicia Lee Wallace, LCSW

Clinical Social Worker · Hampton, VA

NPI number 1215294152 Active

Practice location

100 Emancipation Dr, Bldg 71
Hampton, VA 23667-0001

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed
Clinical Social Worker 1041C0700X149028883 (IL)
Clinical Social Worker 1041C0700X0904018214 (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 1215294152

Felicia Lee Wallace, LCSW's National Provider Identifier is 1215294152, issued on Apr 17, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Hampton, VA. The record was last updated on Apr 8, 2025.