Individual provider · Type 1 NPI

Donna Wallace, LCSW

Clinical Social Worker · Davie, FL

NPI number 1710199328 Active

Practice location

2110 SW 97 Lane
Davie, FL 33324

Call (954) 424-1023 Map

Fax (954) 916-1217

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW2636 (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 1710199328

Donna Wallace, LCSW's National Provider Identifier is 1710199328, issued on May 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Davie, FL. The record was last updated on Jul 8, 2007.