Individual provider · Type 1 NPI

Kimberly Wallach, STUDENT/INTERN

Clinical Social Worker · Mount Vernon, NY

NPI number 1407528029 Active

Practice location

11 W Prospect Ave Fl 4
Mount Vernon, NY 10550-2017

Call (914) 668-8938 Map

Fax (914) 668-2545

Mailing address

845 N Broadway
White Plains, NY 10603-2403

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X116885-01 (NY)

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 1407528029

Kimberly Wallach, STUDENT/INTERN's National Provider Identifier is 1407528029, issued on Oct 1, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mount Vernon, NY. The record was last updated on Feb 1, 2023.