Individual provider · Type 1 NPI

Senetra Wallace, LCSW

Clinical Social Worker · Raleigh, NC

NPI number 1992082416 Active

Practice location

4909 Waters Edge Dr, 107
Raleigh, NC 27606-2462

Call (919) 247-9534 Map

Fax (919) 467-4219

Mailing address

PO Box 52271
Durham, NC 27717-2271

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XC008919 (NC)

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 1992082416

Senetra Wallace, LCSW's National Provider Identifier is 1992082416, issued on Nov 11, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Raleigh, NC. The record was last updated on Mar 3, 2015.