Individual provider · Type 1 NPI

Christopher Scott Wallace, LCSW

Clinical Social Worker · Phoenix, AZ

NPI number 1366974610 Active

Practice location

101 N 1st Ave Ste 2325
Phoenix, AZ 85003-1933

Call (480) 569-1604 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X17443 (MD)
Clinical Social Worker 1041C0700X0904009872 (VA)
Clinical Social Worker Primary 1041C0700X22821 (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 1366974610

Christopher Scott Wallace, LCSW's National Provider Identifier is 1366974610, issued on Mar 28, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 5, 2025.