Michael Patrick Wall, LCSWC

Clinical Social Worker · Severna Park, MD

Individual Active NPI

NPI number 1063552586

Practice location

692 Ritchie Hwy
Suite 203
Severna Park, MD 21146-3919
Phone
(410) 647-4862

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NPI record

NPI
1063552586
Entity type
Individual (Type 1)
Enumeration date
February 7, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X LCSWC07449 MD

Mailing address

64 Dungarrie Rd
Balto, MD 21228-3401
Phone
(410) 382-2859

About Michael Wall

Michael Patrick Wall, LCSWC is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 692 Ritchie Hwy, Suite 203, Severna Park, MD 21146-3919. The NPI number 1063552586 was assigned on February 7, 2007 and the record was last updated on July 8, 2007.

Michael Wall lists a license in the registry: #LCSWC07449 (MD) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Patrick Wall, LCSWC?

The NPI number is 1063552586.

What is the phone number of Michael Wall?

The phone number listed for the practice location is (410) 647-4862.

Where is Michael Wall located?

692 Ritchie Hwy, Suite 203, Severna Park, MD 21146-3919.

What is the taxonomy code for Michael Wall?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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