Individual provider · Type 1 NPI

Shane Robert Wallin

Clinical Social Worker · San Leandro, CA

NPI number 1326243221 Active

Practice location

2275 Arlington Dr
San Leandro, CA 94578-1132

Call (510) 847-4325 Map

Mailing address

2513 24th St
San Francisco, CA 94110-3556

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X28659 (CA)

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 1326243221

Shane Robert Wallin's National Provider Identifier is 1326243221, issued on Jun 19, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Leandro, CA. The record was last updated on Apr 6, 2015.