Individual provider · Type 1 NPI

Indira Maria Wallace Harris, LCSW

Clinical Social Worker · Fort Pierce, FL

NPI number 1679637391 Active

Practice location

727 N US Highway 1
Fort Pierce, FL 34950-9125

Call (772) 595-5150 Map

Mailing address

1373 SW Granville Ave
Port St. Lucie, FL 34953-2202

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW 7536 (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 1679637391

Indira Maria Wallace Harris, LCSW's National Provider Identifier is 1679637391, issued on Dec 20, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Pierce, FL. The record was last updated on Jul 8, 2007.