Individual provider · Type 1 NPI

Carly Wallace, LCSW

Clinical Social Worker · New Britain, CT

NPI number 1780040600 Active

Practice location

233 Main St
New Britain, CT 06051-4204

Call (860) 977-2324 Map

Mailing address

21 Bidwell Sq
Unionville, CT 06085-1115

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X11655 (CT)
Clinical Social Worker 1041C0700X120747 (MA)

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 1780040600

Carly Wallace, LCSW's National Provider Identifier is 1780040600, issued on Jan 7, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Britain, CT. The record was last updated on Feb 28, 2023.