Individual provider · Type 1 NPI

Julia Lynette Wallace, TEMPORARY CSW

Clinical Social Worker · Columbia, KY

NPI number 1730968363 Active

Practice location

1175 Cane Valley Rd
Columbia, KY 42728-9540

Call (270) 384-6750 Map

Mailing address

25640 Louisville Rd
Park City, KY 42160-7729

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	258426 (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 1730968363

Julia Lynette Wallace, TEMPORARY CSW's National Provider Identifier is 1730968363, issued on Sep 25, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbia, KY. The record was last updated on Sep 25, 2023.