Individual provider · Type 1 NPI
Samantha Wall, GC-C, LMSW, CSWA
Clinical Social Worker · Tillamook, OR
Practice location
808 4th St
Tillamook, OR 97141-3412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | M15889 (OR) |
| Clinical Social Worker Primary | 1041C0700X | A16290 (OR) |
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 1548077530
Samantha Wall, GC-C, LMSW, CSWA's National Provider Identifier is 1548077530, issued on Dec 13, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tillamook, OR. The record was last updated on Mar 31, 2025.