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

NICOLE M. WALLACE, MSW, LCSW

Active

NICOLE M. WALLACE, MSW, LCSW is a Clinical Social Worker healthcare provider located in HUNTINGTON, New York. NPI 1275821993 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · HUNTINGTON, NY

Registration Details

NPI Number
1275821993
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2011 (15.110291267299 yrs)
Last Updated
Mar 17, 2018
Licenses
084063 (NY)
084663 (NY)

Practice Information

Address
177 MAIN ST STE 206
HUNTINGTON, NY, 117436917
Browse NY providers · Browse ZIP 11743
Phone
6313803454
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in HUNTINGTON, NY

Name Credential NPI
MS. DIANA VALENTINO 1659367464
MS. JOAN E SHAPIRO LCSW 1215913041
MS. ESTELLE ZAROWIN LCSW 1013994268
MRS. KAREN BETH MOSS L.C.S.W. 1932179165
MRS. ARLETTE ROSEN LCSW 1194773853
JOSEPHINE P ROBERTO M.S.W., L.C.S.W. 1346286390
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.