Individual provider · Type 1 NPI

Anna Wallace

Clinical Social Worker · Tampa, FL

NPI number 1609747591 Active

Practice location

7821 N Dale Mabry Hwy
Tampa, FL 33614-3275

Call (813) 443-4827 Map

Mailing address

225 5th Ave NE Apt 4
St. Petersburg, FL 33701-2601

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW25313 (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 1609747591

Anna Wallace's National Provider Identifier is 1609747591, issued on Sep 15, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tampa, FL. The record was last updated on Sep 15, 2025.