Individual provider · Type 1 NPI

Maureen Wallace, LCSW

Clinical Social Worker · Lafayette, CA

NPI number 1366599334 Active

Practice location

919 Village Center, Ste 7
Lafayette, CA 94549-3599

Mailing address

5580 Deer Run Drive
Richmond, CA 94803-3870

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLC8521 (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 1366599334

Maureen Wallace, LCSW's National Provider Identifier is 1366599334, issued on Jan 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lafayette, CA. The record was last updated on Jul 8, 2007.