Individual provider · Type 1 NPI

Yasmine Wallace

Clinical Social Worker · Decatur, GA

NPI number 1922722065 Active

Practice location

120 E Trinity Pl
Decatur, GA 30030-3302

Call (404) 378-2300 Map

Mailing address

PO Box 3127
Tucker, GA 30085-3127

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 1922722065

Yasmine Wallace's National Provider Identifier is 1922722065, issued on Oct 3, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Decatur, GA. The record was last updated on Oct 4, 2022.