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Ty Lamar Wallace, MSW
Clinical Social Worker in Pinckneyville, Illinois
NPI 1295257624

Ty Lamar Wallace is a Clinical Social Worker based in Pinckneyville, IL and is specialized in Clinical. Ty Lamar Wallace practices in Pinckneyville, IL and has the professional credentials of MSW. The NPI Number for Ty Lamar Wallace is 1295257624 and holds a License No. 149-010121 (Illinois).

The current practice location address for Ty Lamar Wallace is 4904 Bowls Bottom Rd, Pinckneyville, IL and can be reached out via phone at 618-926-6050.

Location: 4904 Bowls Bottom Rd, Pinckneyville, IL, 62274-2453
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295257624
Provider Name
Ty Lamar Wallace
Credential
MSW
Provider Entity Type
Individual
Gender
Male
Address
4904 Bowls Bottom Rd, Pinckneyville, IL, 62274-2453
Phone Number
618-926-6050
Fax Number
Provider Enumeration Date
07/07/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4904 Bowls Bottom Rd
City
Pinckneyville
State
Illinois
Zip
62274-2453
Phone Number
618-926-6050
Fax Number
person
Provider Business Mailing Address Details
Address
4904 Bowls Bottom Rd
City
Pinckneyville
State
Illinois
Zip
62274-2453
Phone Number
618-926-6050
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
149-010121 (Illinois)
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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