Individual provider · Type 1 NPI

Dionne Wallace

Clinical Social Worker · Lafayette, LA

NPI number 1487948568 Active

Practice location

1010 Auburn Ave
Lafayette, LA 70503-2308

Fax (337) 261-9080

Mailing address

1000 Chinaberry Dr Ste 900
Bossier City, LA 71111-2455

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XIC-1329 (NV)

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 1487948568

Dionne Wallace's National Provider Identifier is 1487948568, issued on Jun 6, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lafayette, LA. The record was last updated on May 30, 2024.