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JONATHAN MARC WALLIS LCSW
NPI 1124253307
Social Worker - Clinical in San Francisco, CA

Active since May 18, 2009
1610 SCOTT ST, SAN FRANCISCO, CA 94115(415) 820-9609 Get Directions Write a Review

NPPES record last updated: May 18, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Marc Wallis Lcsw NPPES

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

JONATHAN MARC WALLIS LCSW (NPI 1124253307) is an individual clinical provider in San Francisco, California, licensed in California (LCS19858) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1124253307
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJONATHAN MARC WALLISCredential: LCSW
Location Address1610 SCOTT STSan Francisco, CA 94115-3014
Mailing Address1610 Scott StSan Francisco, CA 94115-3014 · (415) 820-9609
Phone(415) 820-9609
Sole ProprietorYes
Enumeration DateMay 18, 2009
✔ NPI 1124253307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCS19858
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.
Also ListedPsychoanalystTaxonomy 102L00000X
1610 SCOTT ST, San Francisco, CA 94115
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Other Names 1

Professional Name (2)Mr. J. Marc Wallis Lcsw

Other Providers at the Same Location NPPES 4

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

TIMOTHY KIM
Psychologist (Clinical)
1610 SCOTT ST
SAN FRANCISCO, CA 94115
San Francisco County (510) 365-5066
CHRISTOPHER JAMES WALLIS M.D.
Psychiatry & Neurology (Psychiatry)
1610 SCOTT ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 928-6148
JEANNE MARIE LEARY M.D.
Psychiatry & Neurology (Psychiatry)
1610 SCOTT ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 929-0700
DR. NANCY BECKMAN PH.D.
Psychologist (Clinical)
1610 SCOTT ST
SAN FRANCISCO, CA 94115
San Francisco County (415) 346-9446

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 Jonathan Wallis's NPI number?

The NPI number for Jonathan Wallis is 1124253307. It was assigned to this individual provider in the NPPES registry on May 18, 2009. The provider is also known as Mr. J. Marc Wallis Lcsw.

Where is Jonathan Wallis located?

Jonathan Wallis practices at 1610 Scott St, San Francisco, CA 94115. The listed phone number is (415) 820-9609.

What is Jonathan Wallis'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 Jonathan Wallis was last updated on May 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.