Individual provider · Type 1 NPI

Travis Otho-Thomas Walls, BA, BSW

Clinical Social Worker · New London, CT

NPI number 1881362341 Active

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

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 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.