Individual provider · Type 1 NPI

Barbara Mary Wallace, LCSWA

Clinical Social Worker · Charlotte, NC

NPI number 1649730656 Active

Practice location

4921 Albemarle Rd Ste 108
Charlotte, NC 28205-6654

Call (980) 819-6585 Map

Fax (980) 833-1426

Mailing address

6320 Pinto Pl Apt 8
Charlotte, NC 28213-7361

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP013279 (NC)

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 1649730656

Barbara Mary Wallace, LCSWA's National Provider Identifier is 1649730656, issued on Mar 25, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Charlotte, NC. The record was last updated on Mar 25, 2019.