Individual provider · Type 1 NPI
Ty Lamar Wallace, MSW
Clinical Social Worker · Pinckneyville, IL
Practice location
4904 Bowls Bottom Rd
Pinckneyville, IL 62274-2453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 149-010121 (IL) |
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…
Other clinical social worker providers in Pinckneyville
About NPI 1295257624
Ty Lamar Wallace, MSW's National Provider Identifier is 1295257624, issued on Jul 7, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Pinckneyville, IL. The record was last updated on Jul 21, 2022.