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LOUIS C WALTHALL LCSWR CASAC NPI 1679074074


NPI Information

NPI: 1679074074
Provider Name: LOUIS C WALTHALL, LCSWR, CASAC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
10 LODGE PL
WEST BABYLON, NY
ZIP 11704
Phone: (631) 491-5720
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LOUIS C WALTHALL, LCSWR, CASAC is a clinical social worker in West Babylon, NY. 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. LOUIS C WALTHALL, LCSWR, CASAC NPI is 1679074074. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10 LODGE PL
WEST BABYLON, NY
ZIP 11704-608
Phone: (631) 491-5720

The provider's authorized official is Louis C Walthall .
The authorized official title is Licensed Clinical Social Worker and has the following contact phone number (631) 491-5720.

The enumeration date for this NPI number is 2/22/2018 and was last updated on 2/22/2018.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)9438NEW YORKNo
21041C0700XSocial WorkerClinical051661NEW YORKYes

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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