Individual provider · Type 1 NPI

Jakeyla Wallace

Clinical Social Worker · Concord, NC

NPI number 1487470795 Active

Practice location

920 Church St N
Concord, NC 28025-2927

Call (704) 403-4004 Map

Mailing address

6218 Ginkgo Ln
Charlotte, NC 28215-7146

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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…

358 other providers at this address

Other clinical social worker providers in Concord

See all in Concord →

About NPI 1487470795

Jakeyla Wallace's National Provider Identifier is 1487470795, issued on Dec 2, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Concord, NC. The record was last updated on Dec 2, 2024.