Individual provider · Type 1 NPI

Wallace A. Beauchamp Iii, LCSW

Clinical Social Worker · Tucson, AZ

NPI number 1417265463 Active

Practice location

1475 N Oracle Rd
Tucson, AZ 85705-7236

Call (520) 624-5806 Map

Fax (520) 624-5817

Mailing address

3130 E Broadway Blvd, Ste. 180
Tucson, AZ 85716-5863

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	LCSW 11576 (AZ)

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 1417265463

Wallace A. Beauchamp Iii, LCSW's National Provider Identifier is 1417265463, issued on Sep 23, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tucson, AZ. The record was last updated on Sep 23, 2010.