Individual provider · Type 1 NPI

Annisha Wallace, LCSW

Clinical Social Worker · Phoenix, AZ

NPI number 1346962768 Active

Practice location

610 E Baseline Rd Ste 5
Phoenix, AZ 85042-6536

Call (602) 230-7373 Map

Fax (602) 441-5836

Mailing address

3101 N Central Ave Ste 550
Phoenix, AZ 85012-2635

Other practice locations

  • 2204 S Dobson Rd Ste 201, Mesa, AZ 85202-6457 · (602) 230-7373

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLMSW-18807 (AZ)
Clinical Social Worker Primary 1041C0700XLCSW-21745 (AZ)

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 1346962768

Annisha Wallace, LCSW's National Provider Identifier is 1346962768, issued on Sep 13, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 30, 2023.