Individual provider · Type 1 NPI

Brea Wallaker

Clinical Social Worker · Grand Rapids, MN

NPI number 1972098440 Active

Practice location

215 SE 2nd Ave
Grand Rapids, MN 55744-3615

Call (218) 326-1274 Map

Fax (218) 326-9787

Mailing address

916 La Prairie Ave
Grand Rapids, MN 55744-3319

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X23429 (MN)

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 1972098440

Brea Wallaker's National Provider Identifier is 1972098440, issued on Jun 27, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MN. The record was last updated on Jun 27, 2018.