Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTIN WALLACE
Active Sole ProprietorKRISTIN WALLACE is a Clinical Social Worker healthcare provider located in MADISON, Mississippi. NPI 1154931129 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MADISON, MS
Registration Details
- NPI Number
- 1154931129
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2020 (5.9987705222061 yrs)
- Last Updated
- Aug 5, 2020
- License
-
M8300 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
940 EBENEZER BLVDMADISON, MS, 391106002Browse MS providers · Browse ZIP 39110
- Phone
- 6017900583
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MADISON, MS
| Name | Credential | NPI |
|---|---|---|
| MARY D REDDING | LCSW | 1811059553 |
| MS. BRENDA B DONALD | LCSW, BCD | 1114047677 |
| LINDA TIPPETT | LCSW | 1326378431 |
| SARAH MCELWEE | LCSW | 1447581822 |
| FRED RICKMAN | LCSW | 1225369689 |
| ANNA M MARSHALL | LCSW | 1548589450 |
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.