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DYLAN WALLACE LCSW QCSW NPI 1982269155


NPI Information

NPI: 1982269155
Provider Name: DYLAN WALLACE, LCSW, QCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
1431 N 1200 W
OREM, UT
ZIP 84057
Phone: (970) 210-9643
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Dylan Wallace, LCSW, QCSW is a clinical social worker in Orem, UT. 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. Dylan Wallace, LCSW, QCSW NPI is 1982269155. 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:

1431 N 1200 W
OREM, UT
ZIP 84057-449
Phone: (970) 210-9643

The enumeration date for this NPI number is 5/3/2019 and was last updated on 4/29/2020.


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
11041C0700XSocial WorkerClinical11338410-3501UTAHYes
21041C0700XSocial WorkerClinicalSW15210FLORIDANo

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: 11/14/2023

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