Individual provider · Type 1 NPI

Jacqueline D. Wallace, MSW

Clinical Social Worker · Amherst, MA

NPI number 1497743504 Active

Practice location

447 West St, Suite #3
Amherst, MA 01002-2933

Fax (413) 253-2893

Mailing address

41 Jenks St
Amherst, MA 01002-1640

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X1016638 (MA)

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 1497743504

Jacqueline D. Wallace, MSW's National Provider Identifier is 1497743504, issued on Oct 12, 2005. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Amherst, MA. The record was last updated on Jul 23, 2013.