Individual provider · Type 1 NPI

Linda Wallace, MSW

Clinical Social Worker · Jacksonville, FL

NPI number 1588029847 Active

Practice location

632 Southern Lily Dr
Jacksonville, FL 32259-4011

Call (904) 599-8881 Map

Mailing address

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	SW11186 (FL)

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 1588029847

Linda Wallace, MSW's National Provider Identifier is 1588029847, issued on Dec 30, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jacksonville, FL. The record was last updated on Feb 10, 2025.