Individual provider · Type 1 NPI

Jane Burgess Wallen, LCSW

Clinical Social Worker · Louisa, KY

NPI number 1245258383 Active

Practice location

60 Professional Park Dr
Louisa, KY 41230-9644

Call (606) 638-4332 Map

Fax (606) 638-4394

Mailing address

PO Box 790
Ashland, KY 41105-0790

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XKY-1263 (KY)

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 1245258383

Jane Burgess Wallen, LCSW's National Provider Identifier is 1245258383, issued on Jul 17, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisa, KY. The record was last updated on Nov 7, 2014.