Individual provider · Type 1 NPI

Liam Nikolas Jaxson Waller, LCSWA

Clinical Social Worker · Boone, NC

NPI number 1780254136 Active

Practice location

895 State Farm Rd Ste 507-5
Boone, NC 28607-4917

Call (828) 338-3136 Map

Mailing address

156 Chase Cole Ln
Zionville, NC 28698-6002

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XP016334 (NC)

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 1780254136

Liam Nikolas Jaxson Waller, LCSWA's National Provider Identifier is 1780254136, issued on Jun 28, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Boone, NC. The record was last updated on Jun 28, 2021.