Individual provider · Type 1 NPI

Susan Dale Wall, LCSW

Clinical Social Worker · Flagstaff, AZ

NPI number 1740728088 Active

Practice location

77 W Forest Ave, Suite 202
Flagstaff, AZ 86001-1479

Call (928) 773-2249 Map

Fax (928) 214-3981

Mailing address

1200 N Beaver St
Flagstaff, AZ 86001-3118

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW - 2625 (AZ)

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 1740728088

Susan Dale Wall, LCSW's National Provider Identifier is 1740728088, issued on Feb 7, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Flagstaff, AZ. The record was last updated on Mar 1, 2017.