Individual provider · Type 1 NPI

Meri Diane Wallace, LCSW

Clinical Social Worker · New York, NY

NPI number 1770878985 Active

Practice location

135 W 50th St, 6th Floor
New York, NY 10020-1201

Mailing address

PO Box 728
Amagansett, NY 11930-0728

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR027857-1 (NY)

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 1770878985

Meri Diane Wallace, LCSW's National Provider Identifier is 1770878985, issued on Jun 15, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jun 15, 2011.