Individual provider · Type 1 NPI

Cynthia Ann Wallis, LISW

Clinical Social Worker · Mansfield, OH

NPI number 1386864304 Active

Practice location

741 Scholl Rd
Mansfield, OH 44907-1571

Call (419) 774-6703 Map

Fax (419) 756-2594

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 1386864304

Cynthia Ann Wallis, LISW's National Provider Identifier is 1386864304, issued on May 1, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mansfield, OH. The record was last updated on Jul 8, 2007.