Individual provider · Type 1 NPI
Bethany Wallace, LCSW
Clinical Social Worker · Salem, OR
Practice location
2450 Lancaster Dr NE
Salem, OR 97305-1130
Mailing address
3624 Commercial St SE Unit 4364
Salem, OR 97302-6712
Other practice locations
- 1815 Church St SE, Salem, OR 97302-3016 · (503) 783-4004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 5807 (OR) |
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…
3 other providers at this address
Other clinical social worker providers in Salem
- Shannon Beard, LCSWClinical Social Worker Salem, OR NPI 1003007915
- Jes Dimas, LCSW, LICSW, LSSWClinical Social Worker Salem, OR NPI 1003245242
- John B. Milnes, LCSWClinical Social Worker Salem, OR NPI 1013028927
- Mark Alan McKinney, LCSWClinical Social Worker Salem, OR NPI 1013073154
- Keith Nelson, LCSWClinical Social Worker Salem, OR NPI 1023120086
- Kathie L. Yelliott, LCSWClinical Social Worker Salem, OR NPI 1023123494
- Kathleen Marie Baptiste-McKinney, LCSWClinical Social Worker Salem, OR NPI 1023174166
- Rebecca Lanell Lovelady WilliamsClinical Social Worker Salem, OR NPI 1023361078
About NPI 1992987754
Bethany Wallace, LCSW's National Provider Identifier is 1992987754, issued on Dec 3, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salem, OR. The record was last updated on Jun 2, 2025.