Individual provider · Type 1 NPI

Bennett Allan Wallace, M.S.S.W

Clinical Social Worker · Louisville, KY

NPI number 1699042788 Active

Practice location

164 E Ashland Ave
Louisville, KY 40214-1908

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3772 (KY)

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 1699042788

Bennett Allan Wallace, M.S.S.W's National Provider Identifier is 1699042788, issued on Nov 17, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Louisville, KY. The record was last updated on Nov 17, 2011.