Individual provider · Type 1 NPI

Peter David Wallens, M.S.W.

Clinical Social Worker · Charlotte, NC

NPI number 1275698540 Active

Practice location

1801 E 5th St, Suite 212
Charlotte, NC 28204-2379

Call (704) 373-1000 Map

Fax (704) 373-1468

Mailing address

3304 Selwyn Farms Ln Apt 1
Charlotte, NC 28209-5006

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC000573 (NC)

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 1275698540

Peter David Wallens, M.S.W.'s National Provider Identifier is 1275698540, issued on Dec 26, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Jul 8, 2007.