Individual provider · Type 1 NPI

Julia Wallace

Clinical Social Worker · San Francisco, CA

NPI number 1780126979 Active

Practice location

110 Gough St Ste 402
San Francisco, CA 94102-5971

Call (510) 290-9359 Map

Mailing address

110 Gough St, Suite 402
San Francisco, CA 94102-5945

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	25077 (CA)

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 1780126979

Julia Wallace's National Provider Identifier is 1780126979, issued on Nov 6, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in San Francisco, CA. The record was last updated on Jan 23, 2017.