Individual provider · Type 1 NPI

Brian Wahl, LCSW

Clinical Social Worker · Debary, FL

NPI number 1750757373 Active

Practice location

356 Englenook Dr
Debary, FL 32713-1805

Mailing address

1220 Willis Ave
Daytona Beach, FL 32114-2810

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW12336 (FL)

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 1750757373

Brian Wahl, LCSW's National Provider Identifier is 1750757373, issued on Aug 18, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Debary, FL. The record was last updated on Aug 18, 2015.