Individual provider · Type 1 NPI
Brenetta N. Wallace
Clinical Social Worker · Frisco, TX
Practice location
2770 Main St Ste 229
Frisco, TX 75033-4459
Mailing address
PO Box 120692
Arlington, TX 76012-0692
Other practice locations
- 18302 Irvine Blvd Ste 300, Tustin, CA 92780-3437 · (714) 979-2365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 65193 (TX) |
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 1720332646
Brenetta N. Wallace's National Provider Identifier is 1720332646, issued on Oct 30, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Frisco, TX. The record was last updated on Jan 12, 2021.