Individual provider · Type 1 NPI

Seth Wallace, LMSW

Clinical Social Worker · New Haven, CT

NPI number 1487169215 Active

Practice location

5 Science Park
New Haven, CT 06511-1966

Call (203) 777-8648 Map

Mailing address

25 Lyon St
New Haven, CT 06511-4925

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4020 (CT)

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 1487169215

Seth Wallace, LMSW's National Provider Identifier is 1487169215, issued on Dec 1, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Haven, CT. The record was last updated on Dec 1, 2017.