SearchMassachusettsClinical Social Worker

Jacqueline Wallace

NPI 1033634977 · on the registry since 2017

Practice

Address
321 Blue Hill Ave
Dorchester, MA 02121
Phone
(617) 541-6859
Fax
(617) 442-2125
Clinicians at this address
18

Registry record

Primary taxonomy
Clinical Social Worker
1041C0700X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts