Individual provider · Type 1 NPI

Therese Wallis, LMSW

Clinical Social Worker · Niles, MI

NPI number 1982953519 Active

Practice location

115 S Saint Joseph Ave
Niles, MI 49120-2848

Call (269) 684-4270 Map

Fax (269) 684-4070

Mailing address

1485 M 139
Benton Harbor, MI 49022-5711

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801060565 (MI)

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 1982953519

Therese Wallis, LMSW's National Provider Identifier is 1982953519, issued on Aug 29, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Niles, MI. The record was last updated on Feb 14, 2013.