Individual provider · Type 1 NPI

Jennifer Elizabeth Wallis, MSW

Clinical Social Worker · St. Louis, MO

NPI number 1780690800 Active

Practice location

1430 Olive St, Suite 400
St. Louis, MO 63103-2303

Call (314) 206-3832 Map

Fax (314) 206-3708

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1780690800

Jennifer Elizabeth Wallis, MSW's National Provider Identifier is 1780690800, issued on Jul 31, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.