Individual provider · Type 1 NPI

Clare B. Mulholland Wallace, E.ED, LSW

Clinical Social Worker · Cleveland, OH

NPI number 1962887133 Active

Practice location

1641 Payne Ave, Suite 190
Cleveland, OH 44114-2919

Call (216) 987-8983 Map

Fax (216) 987-7883

Mailing address

8040 Deepwood Blvd, A 10
Mentor, OH 44060-8900

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XS0800227 (OH)

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 1962887133

Clare B. Mulholland Wallace, E.ED, LSW's National Provider Identifier is 1962887133, issued on Jul 29, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cleveland, OH. The record was last updated on Jul 29, 2015.