Individual provider · Type 1 NPI
Travis Otho-Thomas Walls, BA, BSW
Clinical Social Worker · New London, CT
Practice location
7 Vauxhall St
New London, CT 06320-5711
Fax (860) 701-3776
Mailing address
255 Hempstead St
New London, CT 06320-6290
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None 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 1881362341
Travis Otho-Thomas Walls, BA, BSW's National Provider Identifier is 1881362341, issued on Aug 31, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New London, CT. The record was last updated on Aug 31, 2021.