Individual provider · Type 1 NPI

Gregory Wallace, LCSWC

Clinical Social Worker · Rockville, MD

NPI number 1700898012 Active

Practice location

932 Hungerford Dr Ste 18B
Rockville, MD 20850-1751

Call (301) 806-1892 Map

Fax (301) 468-1862

Mailing address

6005 Camelback Ln
Columbia, MD 21045-3810

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X12531 (MD)
Clinical Social Worker Primary 1041C0700X12531 (MD)

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 1700898012

Gregory Wallace, LCSWC's National Provider Identifier is 1700898012, issued on Aug 13, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Rockville, MD. The record was last updated on Mar 2, 2023.