Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON R WALLIS, MSW, LICSW
ActiveJASON R WALLIS, MSW, LICSW is a Clinical Social Worker healthcare provider located in WASHINGTON, Washington D.C.. NPI 1942707500 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WASHINGTON, DC
Registration Details
- NPI Number
- 1942707500
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2018 (8.3443763778302 yrs)
- Last Updated
- Sep 30, 2019
- License
-
LC50081298 (DC)
Practice Information
- Address
-
4414 BENNING RD NEWASHINGTON, DC, 200194555Browse DC providers · Browse ZIP 20019
- Phone
- 2023887759
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in WASHINGTON, DC
| Name | Credential | NPI |
|---|---|---|
| DONALD ZUCKERMAN | MSW | 1164420535 |
| BABETTE WISE | — | 1023017100 |
| LISA JOAN REARDON | LICSW | 1598765257 |
| HOPE GRANDE | — | 1376535088 |
| MS. MARYANN FOSTER | LCSW-C | 1083602460 |
| MS. HATTIE ANNA PETERSON | MSW, LICSW | 1326039041 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.