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Mr. Gregory Wallace, LCSWC
Clinical Social Worker in Rockville, Maryland
NPI 1700898012

Gregory Wallace is a Clinical Social Worker based in Columbia, MD and is specialized in Clinical. Gregory Wallace practices in Rockville, MD and has the professional credentials of LCSWC. The NPI Number for Gregory Wallace is 1700898012 and holds a License No. 12531 (Maryland).

The current practice location address for Gregory Wallace is 932 Hungerford Dr Ste 18B, Rockville, MD and can be reached out via phone at 301-806-1892 and via fax at 301-468-1862. You can also correspond with Gregory Wallace through the mailing address at 6005 CAMELBACK LN, COLUMBIA, MD - 21045-3810 (mailing address contact number: 301-806-1892).

Location: 932 Hungerford Dr Ste 18B, Rockville, MD, 21045-3810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700898012
Provider Name
Gregory Wallace
Credential
LCSWC
Provider Entity Type
Individual
Gender
Male
Address
932 Hungerford Dr Ste 18B, Rockville, MD, 21045-3810
Phone Number
301-806-1892
Fax Number
301-468-1862
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
248050 01 MD KAISER
406695200 05 MD
64403601 01 MD BCBS OF MD
7383677 01 MD AETNA
724490000 01 MD MAGELLAN
A2840144 01 DC BCBS OF DC
institution
Provider Business Practice Location Address Details
Address
932 Hungerford Dr Ste 18B
City
Rockville
State
Maryland
Zip
20850-1751
Phone Number
301-806-1892
Fax Number
301-468-1862
person
Provider Business Mailing Address Details
Address
932 Hungerford Dr Ste 18B
City
Rockville
State
Maryland
Zip
20850-1751
Phone Number
301-806-1892
Fax Number
301-468-1862
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
-
Taxonomy
104100000X
License No.
12531 (Maryland)
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
12531 (Maryland)
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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