Individual provider · Type 1 NPI

Azaia Wallace

Clinical Social Worker · Wesley Chapel, FL

NPI number 1982287876 Active

Practice location

8039 Lennox Loop
Wesley Chapel, FL 33544-3503

Other practice locations

  • 6767 W Tropicana Ave Ste 100, Las Vegas, NV 89103-4755 · (702) 209-0370

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XNone listed
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700X10883-C (NV)

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 1982287876

Azaia Wallace's National Provider Identifier is 1982287876, issued on Apr 29, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wesley Chapel, FL. The record was last updated on Sep 4, 2024.