Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason R Wallis, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1942707500

Jason R Wallis, MSW, LICSW is a Clinical Social Worker in Washington, District of Columbia. Qualified in 2013, 13 years ago. Practices with Unity Health Care Inc, a 153-clinician group and accepts Medicare assignment. Licensed in District of Columbia.

Years since qualifying
13
Licensed in
DC
In the registry since
2018
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

4414 Benning Rd NE
Washington, DC 20019-4555
Phone: (202) 388-7759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LC50081298 (DC)

Record details

NPI number1942707500
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , LICSW
Sole proprietorNo
NPI enumeratedApril 10, 2018
Last updated in NPPESSeptember 30, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Unity Health Care Inc. — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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