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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN WALLACE, LMSW

Active

KEVIN WALLACE, LMSW is a Social Worker healthcare provider located in TEANECK, New Jersey. NPI 1073207049 is currently active in the NPPES registry. Verify at CMS.

Social Worker · TEANECK, NJ

Registration Details

NPI Number
1073207049
Provider Type
Individual
Gender
Male
NPI Issued
Jun 5, 2023 (3.1803579009712 yrs)
Last Updated
Jun 5, 2023
License
095669 (NY)

Practice Information

Address
799 JOHN ST
TEANECK, NJ, 076665333
Browse NJ providers · Browse ZIP 07666
Phone
9173277162
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in TEANECK, NJ

Name Credential NPI
MRS. SHAREN LEIGH PYNE-WEISSMAN LCSW, LMFT, APN 1215939111
MRS. SHERYL F. MILLSTEIN LCSW 1295888212
MR. MICHAEL HOFFMAN LMSW 1558506568
MS. LENA MICHELE LEPENDORF LMSW 1114163243
ATARA SIEGEL 1538309570
MR. ELIEZER ZWICKLER LSW 1639477938
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.