Individual provider · Type 1 NPI

Andrew Nathan Wallace, LCSW

Clinical Social Worker · Canton, GA

NPI number 1295433167 Active

Practice location

191 Lamar Haley Pkwy
Canton, GA 30114-8019

Call (770) 704-1600 Map

Mailing address

1193 Wade Green Cir NW
Acworth, GA 30102-3491

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW008417 (GA)

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 1295433167

Andrew Nathan Wallace, LCSW's National Provider Identifier is 1295433167, issued on Feb 21, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Canton, GA. The record was last updated on Apr 25, 2023.