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JONATHAN MARC WALLIS LCSW NPI 1124253307


NPI Information

NPI: 1124253307
Provider Name: JONATHAN MARC WALLIS, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
1610 SCOTT ST
SAN FRANCISCO, CA
ZIP 94115
Phone: (415) 820-9609
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Jonathan Marc Wallis, LCSW is a clinical social worker in San Francisco, CA. The provider is 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Jonathan Marc Wallis, LCSW NPI is 1124253307. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1610 SCOTT ST
SAN FRANCISCO, CA
ZIP 94115-014
Phone: (415) 820-9609

The enumeration date for this NPI number is 5/18/2009 and was last updated on 5/18/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1102L00000XPsychoanalystNo
21041C0700XSocial WorkerClinicalLCS19858CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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