Individual provider · Type 1 NPI

Tara Waller

Clinical Social Worker · Roanoke, VA

NPI number 1467208918 Active

Practice location

1454 Mexico Way NE
Roanoke, VA 24012-6476

Fax (434) 664-1177

Mailing address

724 Shelbourne Ave
Vinton, VA 24179-3720

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904016744 (VA)

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 1467208918

Tara Waller's National Provider Identifier is 1467208918, issued on Apr 25, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Roanoke, VA. The record was last updated on Apr 25, 2024.