Individual provider · Type 1 NPI

Jessica Walls

Clinical Social Worker · Lafayette, CO

NPI number 1730723834 Active

Practice location

1455 Dixon Ave
Lafayette, CO 80026-8879

Mailing address

1647 Atwood St
Longmont, CO 80501-2813

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker Primary 1041C0700XCSW.09927029 (CO)

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 1730723834

Jessica Walls's National Provider Identifier is 1730723834, issued on Oct 31, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lafayette, CO. The record was last updated on Feb 2, 2021.