MS. THERESE WALLIS LMSW - NPI 1982953519 - Social Worker in Niles, MI

Q: What is Therese Wallis's NPI number?

The NPI number for Therese Wallis is 1982953519. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Q: What is Therese Wallis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Therese Wallis was last updated on February 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

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About Ms. Therese Wallis Lmsw NPPES

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

MS. THERESE WALLIS LMSW (NPI 1982953519) is an individual clinical provider in Niles, Michigan, licensed in Michigan (6801060565) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1982953519

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. THERESE WALLISCredential: LMSW

Location Address115 S SAINT JOSEPH AVENiles, MI 49120-2848

Mailing Address1485 M 139Benton Harbor, MI 49022-5711 · (269) 925-0585 · Fax (269) 927-1326

Phone(269) 684-4270

Fax(269) 684-4070

Sole ProprietorNo

Enumeration DateAugust 29, 2012

Last NPPES UpdateFebruary 14, 2013

✔ NPI 1982953519 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 MI · 6801060565

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.

115 S SAINT JOSEPH AVE, Niles, MI 49120

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Other Providers at the Same Location NPPES 9

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

PATRICE L SUMMERVILLE

Case Manager/Care Coordinator