Individual provider · Type 1 NPI

Suzanne Wallace, LCSW

Clinical Social Worker · Fresno, CA

NPI number 1639488513 Active

Practice location

2011 Fresno St
Fresno, CA 93721-1722

Call (559) 457-6088 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X60762 (CA)

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 1639488513

Suzanne Wallace, LCSW's National Provider Identifier is 1639488513, issued on Sep 27, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fresno, CA. The record was last updated on Aug 19, 2026.