Individual provider · Type 1 NPI
Carolyn Wallace, LICSW
Clinical Social Worker · South Deerfield, MA
Practice location
66 N Main St
South Deerfield, MA 01373-0137
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 119611 (MA) |
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 1962595835
Carolyn Wallace, LICSW's National Provider Identifier is 1962595835, issued on Oct 2, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in South Deerfield, MA. The record was last updated on Dec 20, 2021.