Individual provider · Type 1 NPI
Candace Nicole Wallis
Clinical Social Worker · Coos Bay, OR
Practice location
125 Central Ave Ste 290
Coos Bay, OR 97420-2342
Mailing address
1600 Woodland Dr
Coos Bay, OR 97420-2044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 15085 (FL) |
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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- Kellilynn Bosak, LCSWClinical Social Worker Coos Bay, OR NPI 1205363421
- Laurie C. Reis, LCSWClinical Social Worker Coos Bay, OR NPI 1205474137
- Denise E. Stuntzner, LCSWClinical Social Worker Coos Bay, OR NPI 1245271246
- Gregory Garrow, LCSWClinical Social Worker Coos Bay, OR NPI 1295340156
- Carol J. Embury, LCSWClinical Social Worker Coos Bay, OR NPI 1336238971
- Richard L. Bossardt, L.C.S.W.Clinical Social Worker Coos Bay, OR NPI 1336245752
About NPI 1215691597
Candace Nicole Wallis's National Provider Identifier is 1215691597, issued on Oct 24, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Coos Bay, OR. The record was last updated on Oct 24, 2021.