Individual provider · Type 1 NPI

Charles Brian Walton, LCSW

Clinical Social Worker · Fayetteville, NY

NPI number 1407946791 Active

Practice location

6834 E Genesee St Ste C
Fayetteville, NY 13066-1021

Mailing address

116 Kimry Moor
Fayetteville, NY 13066-1854

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XPRO11729-1 (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 1407946791

Charles Brian Walton, LCSW's National Provider Identifier is 1407946791, issued on Oct 15, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fayetteville, NY. The record was last updated on Dec 23, 2021.