Individual provider · Type 1 NPI

Clinton Edward Wallace

Clinical Social Worker · Reno, NV

NPI number 1386519346 Active

Practice location

204 Marsh Ave Ste 200
Reno, NV 89509-1651

Mailing address

3889 Belvedere Dr
Reno, NV 89503-1818

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1386519346

Clinton Edward Wallace's National Provider Identifier is 1386519346, issued on Oct 9, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Reno, NV. The record was last updated on Oct 9, 2025.