Individual provider · Type 1 NPI

Janise Wallace, LCSW

Clinical Social Worker · Ludowici, GA

NPI number 1396348603 Active

Practice location

83 Hoffer Ln SE
Ludowici, GA 31316

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW007370 (GA)

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 1396348603

Janise Wallace, LCSW's National Provider Identifier is 1396348603, issued on Nov 18, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ludowici, GA. The record was last updated on Nov 18, 2020.