Individual provider · Type 1 NPI
Wallace Stacy Jr., LCSW
Clinical Social Worker · Wilton, CT
Practice location
21 Richdale Dr Apt A
Wilton, CT 06897-2008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 007936 (CT) |
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 1588190862
Wallace Stacy Jr., LCSW's National Provider Identifier is 1588190862, issued on May 5, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wilton, CT. The record was last updated on May 5, 2017.