Individual provider · Type 1 NPI

Logan Wallace, LCSW

Clinical Social Worker · Scottsdale, AZ

NPI number 1235979485 Active

Practice location

13400 E Shea Blvd
Scottsdale, AZ 85259-5499

Call (480) 301-8000 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-21536 (AZ)

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 1235979485

Logan Wallace, LCSW's National Provider Identifier is 1235979485, issued on May 27, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Scottsdale, AZ. The record was last updated on Oct 20, 2024.