Individual provider · Type 1 NPI

Bruce Wallace

Clinical Social Worker · Waianae, HI

NPI number 1689341679 Active

Practice location

85-888 Farrington Hwy
Waianae, HI 96792-2403

Call (808) 696-9498 Map

Mailing address

86-226 Farrington Hwy
Waianae, HI 96792-3128

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-5142 (HI)

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 1689341679

Bruce Wallace's National Provider Identifier is 1689341679, issued on Aug 26, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waianae, HI. The record was last updated on Apr 6, 2026.