Individual provider · Type 1 NPI

Cynthia Lynn Wall, LCSW

Clinical Social Worker · Fort Bragg, CA

NPI number 1649359001 Active

Practice location

30077 Simpson Ln
Fort Bragg, CA 95437-7759

Fax (707) 964-5766

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS11193 (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 1649359001

Cynthia Lynn Wall, LCSW's National Provider Identifier is 1649359001, issued on Nov 3, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Bragg, CA. The record was last updated on Jul 8, 2007.