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Kristin Wallace
Clinical Social Worker in Madison, Mississippi
NPI 1154931129

Kristin Wallace is a Clinical Social Worker based in Madison, MS and is specialized in Clinical. Kristin Wallace practices in Madison, MS. The NPI Number for Kristin Wallace is 1154931129 and holds a License No. M8300 (Mississippi).

The current practice location address for Kristin Wallace is 940 Ebenezer Blvd, Madison, MS and can be reached out via phone at 601-790-0583.

Location: 940 Ebenezer Blvd, Madison, MS, 39110-9365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154931129
Provider Name
Kristin Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
940 Ebenezer Blvd, Madison, MS, 39110-9365
Phone Number
601-790-0583
Fax Number
Provider Enumeration Date
08/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
940 Ebenezer Blvd
City
Madison
State
Mississippi
Zip
39110-6002
Phone Number
601-790-0583
Fax Number
person
Provider Business Mailing Address Details
Address
940 Ebenezer Blvd
City
Madison
State
Mississippi
Zip
39110-6002
Phone Number
601-790-0583
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
M8300 (Mississippi)
Definition
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.
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