Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Marc Wallis, LCSW

Individual provider Psychoanalyst · NPI 1124253307

Jonathan Marc Wallis, LCSW is a Psychoanalyst in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1610 Scott St
San Francisco, CA 94115-3014
Phone: (415) 820-9609
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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 LCS19858 (CA)
Psychoanalyst Taxonomy 102L00000X

Record details

NPI number1124253307
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 18, 2009
Last updated in NPPESMay 18, 2009
Mailing address1610 Scott St, San Francisco, CA 94115-3014

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