Individual provider · Type 1 NPI

Max Wallace, LCSW

Clinical Social Worker · Albany, OR

NPI number 1235917105 Active

Practice location

1700 Geary St SE Ste 200300A
Albany, OR 97322-6842

Mailing address

7809 Hickory St
New Orleans, LA 70118-4126

Other practice locations

  • 716 Adams St, New Orleans, LA 70118-3931 · (504) 446-6212

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X16308 (LA)
Clinical Social Worker Primary 1041C0700XL18177 (OR)

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 1235917105

Max Wallace, LCSW's National Provider Identifier is 1235917105, issued on Sep 20, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Albany, OR. The record was last updated on Sep 10, 2026.