Individual provider · Type 1 NPI
Christine Ann Waller, LICSW
Clinical Social Worker · Troy, OH
Practice location
125 Fox Harbor Dr
Troy, OH 45373-1088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 115461 (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 1629555677
Christine Ann Waller, LICSW's National Provider Identifier is 1629555677, issued on Jul 23, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Troy, OH. The record was last updated on Jul 23, 2018.