Individual provider · Type 1 NPI

Jeffrey Michael Wallach, L.C.S.W.-R.

Clinical Social Worker · Brooklyn, NY

NPI number 1407952054 Active

Practice location

1670 E 17th St # 78, Interborough Developmental And Consultation Center
Brooklyn, NY 11229-1258

Fax (718) 245-2517

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR 023720-1 (NY)
Clinical Social Worker 1041C0700X023720-1 (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 1407952054

Jeffrey Michael Wallach, L.C.S.W.-R.'s National Provider Identifier is 1407952054, issued on Sep 14, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.