MR. MICHAEL PATRICK WALL LCSWC
NPI 1063552586
Social Worker - Clinical in Severna Park, MD

Active since February 07, 2007
692 RITCHIE HWY, SUITE 203, SEVERNA PARK, MD 21146(410) 647-4862 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Patrick Wall Lcswc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL PATRICK WALL LCSWC (NPI 1063552586) is an individual clinical provider in Severna Park, Maryland, licensed in Maryland (LCSWC07449) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1063552586
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MICHAEL PATRICK WALLCredential: LCSWC
Location Address692 RITCHIE HWY, SUITE 203Severna Park, MD 21146-3919
Mailing Address64 Dungarrie RdBalto, MD 21228-3401 · (410) 382-2859
Sole ProprietorNo
Enumeration DateFebruary 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1063552586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MD · LCSWC07449
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.
692 RITCHIE HWY, Severna Park, MD 21146

Other Identifiers 1

Other1QV10MP2752664001MD · Bcbs Md

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
692 RITCHIE HWY
SEVERNA PARK, MD 21146

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Wall's NPI number?

The NPI number for Michael Wall is 1063552586. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Michael Wall located?

Michael Wall practices at 692 Ritchie Hwy Suite 203, Severna Park, MD 21146. The listed phone number is (410) 647-4862.

What is Michael Wall's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Michael Wall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.