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

DIANA WALLACE, LCSW

Active

DIANA WALLACE, LCSW is a Clinical Social Worker healthcare provider located in NEWPORT, Kentucky. NPI 1336145432 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · NEWPORT, KY

Registration Details

NPI Number
1336145432
Provider Type
Individual
Gender
Female
NPI Issued
Jun 23, 2005 (20.962088485721 yrs)
Last Updated
Jun 12, 2012
Licenses
005144 (CT)
3632 (KY)

Practice Information

Address
1 NUNN DR
UNIVERSITY CENTER, SUITE 440
NEWPORT, KY, 410990002
Browse KY providers · Browse ZIP 41099
Phone
8595725650
Fax
8595725615
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in NEWPORT, KY

Name Credential NPI
RICK N HAMM LCSW 1184678039
DR. MICHAEL JOHN MEIER PH.D. 1548484280
KAREN A ROTH LCSW 1346402021
KARMEN RENE BEEBE LCSW 1366738130
ROBIN HURDLE MSW 1063797801
SHAYA HADDEN MSW 1396103347
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.