Individual provider · Type 1 NPI

Marcus L. Wade, LMSW/LCDC

Clinical Social Worker · Tyler, TX

NPI number 1780930768 Active

Practice location

401 E Front St Ste 145
Tyler, TX 75702-8213

Fax (903) 472-5038

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X10748 (TX)
Clinical Social Worker Primary 1041C0700X56749 (TX)

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 1780930768

Marcus L. Wade, LMSW/LCDC's National Provider Identifier is 1780930768, issued on Jul 27, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tyler, TX. The record was last updated on Jun 13, 2024.