Individual provider · Type 1 NPI

Alexandria Wall, LCSW

Clinical Social Worker · Petersburg, VA

NPI number 1790354074 Active

Practice location

350 Poplar Dr
Petersburg, VA 23805-9367

Call (804) 733-6874 Map

Mailing address

320 Moorman Ave
Colonial Heights, VA 23834-3130

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904013036 (VA)

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 1790354074

Alexandria Wall, LCSW's National Provider Identifier is 1790354074, issued on Jun 22, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Petersburg, VA. The record was last updated on Jun 22, 2021.