Individual provider · Type 1 NPI
Taylor Nicole Wallace
Clinical Social Worker · Gaithersburg, MD
Practice location
7104 Stratos Ln
Gaithersburg, MD 20879-5425
Mailing address
11870 Grand Park Ave Apt 1000
North Bethesda, MD 20852-8703
Other practice locations
- 5044 Dorsey Hall Dr Ste 204, Ellicott City, MD 21042-7500 · (240) 672-4879
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1740946763
Taylor Nicole Wallace's National Provider Identifier is 1740946763, issued on Nov 14, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Gaithersburg, MD. The record was last updated on Nov 14, 2021.